| NPI | 1205227030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KETA PATEL Practice Manager 732-952-5533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: NJ 25MP00356700) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2015-02-16 |