| NPI | 1952733875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL B MILLER CEO 609-536-9890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NJ 26NJ00099700) |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2013-08-01 |