| NPI | 1205272242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHINWEIKE IZEOGU Medical Director 201-988-0699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: NJ 25MA08075700) |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2013-08-12 |