| NPI | 1972907772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DOVNARSKY Doctor 856-692-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA06786000) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA044099000) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MB04980000) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: NJ 25MB07794500) | |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |