| NPI | 1083935340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY LESLIE BAKST President/CEO 302-529-8783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: DE 1999203833) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2010-06-21 |