| NPI | 1407155625 |
|---|---|
| Former Legal Business Name | UMDNJ-SOM INTERVENTIONAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL RIEKER Interim Chief Financial Officier 856-770-5772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2013-05-15 |