| NPI | 1427511187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LATZA Manager 732-882-1895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 207X00000X Orthopaedic Surgery | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-04-10 |