| NPI | 1043606387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE DEBRA VICTOR President/Physician 973-698-7768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME100973) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-04-14 |