| NPI | 1972634129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MCMULLEN EVP Manged Care 856-342-7263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |