| NPI | 1396902946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS MANGANELLI Owner 732-747-7077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |