| NPI | 1346472321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE JOHN BUSSANICH Owner 201-840-5888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NJ 25MA07789800) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00626600) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NJ 25MB08234500) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25MA06277300) | |
| 207R00000X Internal Medicine (Licence: NJ 25MA04969400) | |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2011-10-07 |