| NPI | 1528313137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN T MINGOIA President 201-436-0911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NJ 25MB08234500) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00645300) |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2012-07-19 |