| NPI | 1881742369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | C. SAMUEL VERGHESE Clinical Director 856-222-9965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB05189200) |
| Additional Taxonomies | 246ZE0500X Specialist/Technologist, Other, EEG |
| 175F00000X Naturopath | |
| 175L00000X Homeopath | |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic | |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2008-09-11 |