| NPI | 1063657773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUEN S SHIH Self / Owner 973-564-8159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X (Licence: NJ 25MA03107100) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25MA03107100) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2013-09-12 |