| NPI | 1881987337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMAN A CIERVO CEO 856-783-1987 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB05175300) |
| Additional Taxonomies | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism |
| 2086S0129X Surgery Vascular Surgery | |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2017-10-19 |