| NPI | 1235482803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ALBANO Owner 908-322-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25ma05863000) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ mc03981) |
| 111N00000X Chiropractor (Licence: NJ 38mc00670100) | |
| 111N00000X Chiropractor (Licence: NJ 38MC00639000) | |
| 204R00000X Electrodiagnostic Medicine (Licence: NJ 25MB05752300) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25mb08610000) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 5MA07388400) | |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2012-10-19 |