| NPI | 1093581902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN MOALEMI President 201-368-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine |
| Enumeration Date | 2023-12-01 |
| Last Update Date | 2023-12-01 |