| NPI | 1063879971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY B BUCK President 609-290-7015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: NJ 25MA06131600) |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2016-01-22 |