| NPI | 1376006486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MCELROY Member 201-962-9199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2019-10-23 |