| NPI | 1487885141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLENE KAZIO VP 732-316-5895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation |
| Additional Taxonomies | 171100000X Acupuncturist |
| 207LP2900X Anesthesiology Pain Medicine | |
| 207Q00000X Family Medicine | |
| 207X00000X Orthopaedic Surgery | |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
| 213ES0103X Podiatrist Foot & Ankle Surgery | |
| 225100000X Physical Therapist | |
| 363L00000X Nurse Practitioner | |
| 363LP2300X Nurse Practitioner Primary Care | |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2020-02-10 |