| 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 |