| NPI | 1487878914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE THORNE Administrator 201-968-1055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2008-08-13 |