| NPI | 1346557469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD LAWRENCE BRODY Owner 856-753-0581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 2MA04660000) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA06259100) |
| 208100000X Physical Medicine & Rehabilitation (Licence: NJ 2MA06687200) | |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2010-09-10 |