| NPI | 1942422266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS BONNER Owner 856-896-2008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081H0002X Physical Medicine & Rehabilitation, Hospice and Palliative Medicine (Licence: NJ 25MA06316600) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |