| NPI | 1194036111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVI K VENKATARAMAN CEO 973-779-7361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NJ 25MA06850700) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2010-06-24 |