| NPI | 1932602448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY L CHAMBERS Owner 856-405-1740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: TN 16537) |
| Enumeration Date | 2018-03-10 |
| Last Update Date | 2018-03-10 |