| NPI | 1043764269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAJAKTA AVHAD Owner 732-476-8971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2020-10-29 |