| NPI | 1912196908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH HAGGETT Administrator 856-983-7337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QL0400X Clinic/Center, Lithotripsy (Licence: NJ 0600101241) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-16 |