| NPI | 1306611876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERENCE WELSH Owner 908-591-9839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2023-11-15 |