| NPI | 1124629415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BARRETT Member 973-627-7888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |