| NPI | 1538311956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA WEISSMAN President 732-238-0080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NJ 25MA07653000) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ MA07653000) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2016-10-13 |