| NPI | 1265444921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY RIVERA Asst Mgr 201-986-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2014-10-14 |