| NPI | 1144761180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARIQ MOHAMMED ALI Owner 973-600-9462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25ma07920200) |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |