| NPI | 1861562548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL DEPRINCE Medical Director 856-761-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB06561000) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2010-09-07 |