| NPI | 1114750270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE BARAN Authorized Official 201-463-5213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 111NR0400X |
| 171100000X Acupuncturist | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2024-08-23 |
| Last Update Date | 2024-08-23 |