| NPI | 1225067093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ANTHONY AURIEMMA Owner 973-979-3421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB06995300) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NJ 25MB06995300) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-08-22 |