| NPI | 1861636151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA M. PETRUNCIO Physician 856-488-6785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ MB4695500) |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2009-04-30 |