{
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"FirstLineMailingAddress": "2401 ROUTE 130 S",
"SecondLineMailingAddress": null,
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"PracticeLocationAddressFaxNumber": "856-786-3565",
"EnumerationDate": "03/21/2007",
"LastUpdateDate": "01/23/2009",
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"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "REDA",
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"AuthorizedOfficialMiddleName": "JAMES",
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"AuthorizedOfficialCredential": "O.D.",
"AuthorizedOfficialTelephoneNumber": "856-786-1616",
"Taxonomies": {
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{
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},
{
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}
]
},
"HealthcareProviderTaxonomyGroups": {
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{
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},
{
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
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}
]
}
}
}