| NPI | 1972514214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN ARNT JENSEN Physician 856-963-2187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB02501900) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2007-10-10 |