| NPI | 1063993103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WILLIAM O'HARA Do 732-380-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-08-27 |