| NPI | 1245660190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOHN LATZA Partner 732-468-8280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2013-11-13 |