| NPI | 1215526033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS ZIMMEL Authorized Official 732-738-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2021-01-15 |