| NPI | 1487852737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIPUL V SHAH Physician 908-879-8202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation (Licence: NJ 25MA05826300) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |