| NPI | 1487382206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD MICHAEL LIEBERMAN Authorized Official 302-233-6916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2025-01-30 |