| NPI | 1881035699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES MCQUEARY CEO 856-872-7055 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2021-03-25 |