| NPI | 1780249987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY GELLER Owner 856-466-9653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine Addiction Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2021-02-24 |