| NPI | 1114255114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO BOWEN Billing Manager 609-261-5755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NJ 25MA06687200) |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2009-12-02 |