| NPI | 1972151207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE BOGDOL Director Revenue Cycle 609-845-3988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0002X Pharmacy Clinic Pharmacy | |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2021-09-24 |