| NPI | 1013008580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA MEHTA Medical Director 201-656-3647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NJ 33984) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: NJ 33984) |
| 174400000X Specialist (Licence: NJ 33984) | |
| 1744P3200X Specialist, Prosthetics Case Management (Licence: NJ 33984) | |
| 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: NJ 33984) | |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NJ 33984) | |
| 225100000X Physical Therapist (Licence: NJ 33984) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: NJ 33984) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |