| NPI | 1912676198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KWASI A MANU CEO 856-630-5088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2024-07-26 |