NPI | 1861689630 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE ELIZABETH LIGGIO Owner/Physician 856-665-9520 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ MB61420) |
Enumeration Date | 2007-09-26 |
Last Update Date | 2013-04-03 |