| NPI | 1184977068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF BROWN Practice Administrator 908-259-2722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2018-07-04 |