| NPI | 1235674912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE NAMMOUR Manager 856-983-9001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2024-01-31 |