| NPI | 1194796425 |
|---|---|
| Former Legal Business Name | UMDNJ-SOM UNIVERSITY HEADACHE CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL RIEKER Interim Chief Financial Officier 856-770-5729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2013-05-15 |