| NPI | 1437633492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAMDOUH S HANNA Md / Owner 201-303-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2018-09-17 |