NPI | 1063746527 |
---|---|
Entity Type | Organization |
Authorized Contact | KATIE BOLEN Manager 973-794-4704 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 235083) |
Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: NJ 25MA07658100) |
207QA0401X Family Medicine, Addiction Medicine (Licence: NY 235083) | |
208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA07658100) | |
208VP0000X Pain Medicine, Pain Medicine (Licence: NJ 25MA07658100) | |
208VP0000X Pain Medicine, Pain Medicine (Licence: NY 235083) | |
208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NJ 25MA07658100) | |
208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 235083) | |
Enumeration Date | 2009-09-30 |
Last Update Date | 2020-02-13 |