| NPI | 1972735116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN A. NEWTON Medical Director 856-910-8889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB05524000) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC000341700) |
| 225100000X Physical Therapist (Licence: NJ 40QA00638000) | |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2010-06-29 |