Organization
AUTONOMIC CLINICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE A NAYLOR PHD (PRESIDENT)
(856) 222-9916
Entity
Organization
Contact information
Practice address
813 E GATE DR STE B, MOUNT LAUREL, NJ 08054-1238
(856) 222-9916
Mailing address
813 E GATE DR STE B, MOUNT LAUREL, NJ 08054-1238
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB05189200-NJ
NJ
Other
Enumeration date
06/13/2007
Last updated
08/22/2020
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