| NPI | 1982194825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DAVID THOMPSON Managing Employee 609-971-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| 2081S0010X Physical Medicine & Rehabilitation Sports Medicine | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2021-08-25 |