| NPI | 1790462398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VARSHA N SHAH Medical Directoe 856-111-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2023-08-11 |