| NPI | 1902281264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS DEMARIA Owner 856-287-1775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9338988) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME116794) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2015-07-28 |