| NPI | 1811477573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDIE CHANG President 856-266-0277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2019-04-22 |