| NPI | 1356400014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED L FREEMAN Owner 732-785-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NJ 25MB06110000) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NJ 25MB06110000) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2011-05-12 |