| NPI | 1225223852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORAZON CIPRIASO Physician In Charge 908-601-5296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA07358200) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2010-08-10 |