| NPI | 1063172880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCO DIMAYORCA Managing Member 908-273-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2021-12-20 |