| NPI | 1962866566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM BONNEY CEO 856-872-2868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: NJ 25MA08663900) |
| Additional Taxonomies | 2080P0202X Pediatrics Pediatric Cardiology (Licence: PA MD436538) |
| Enumeration Date | 2016-04-09 |
| Last Update Date | 2016-10-20 |