| NPI | 1366715963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABISH RIZVI CEO 917-216-3329 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA08272600) |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 111N00000X Chiropractor (Licence: NJ 38MC00180500) | |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2012-10-26 |