| NPI | 1811425812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | B. GABRIEL SMOLARZ Owner Provider Solo Practioner 609-250-2766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2022-07-21 |