| NPI | 1811940760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MARIE VAIL Network Billing Coordinator 856-414-1120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |