| NPI | 1245710805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MCELROY Member 201-835-6602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2018-08-14 |