| NPI | 1912325077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL DELGADO COO 856-614-3234 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25MA06603200) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2016-09-23 |