| NPI | 1396102570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHINWEIKE IZEOGU Medical Director 973-673-0601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NJ 25MA08075700) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: NJ 25MA08075700) |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: NJ 25MA08075700) | |
| 261QP3300X Clinic/Center, Pain (Licence: NJ 25MA08075700) | |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-09-09 |