NPI | 1265548978 |
---|---|
Entity Type | Organization |
Authorized Contact | JOANN DEROSA Account Manager 201-986-1003 |
Organization Subpart ? | No |
Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: NJ 25MA07567400) |
Enumeration Date | 2006-08-23 |
Last Update Date | 2022-07-21 |