| NPI | 1538102157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN BACALOGLU Billing Manager 973-579-7443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2007-07-11 |