| NPI | 1942666177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELIA PADRON Medical Director 856-596-7225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NJ 25MA05448300) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2016-01-04 |