| NPI | 1427302512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA RUSSELL CARTER Owner/President 973-746-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NJ 25MA07029200) |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2012-10-29 |