| NPI | 1508388224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARTH S SHAH Partner 862-242-6107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| 225100000X Physical Therapist | |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2020-01-08 |