| NPI | 1508032673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGEY V BOGDAN Owner 732-553-1214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2020-01-16 |