| NPI | 1982812137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER JOHNSEN Director Of Medical Services 609-258-4460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: NJ 26NR09604700) |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2008-07-14 |