NPI | 1538582606 |
---|---|
Former Legal Business Name | ADVANCED PAIN & PHYSICIAL MEDICINE CENTER, LLC |
Entity Type | Organization |
Authorized Contact | JAMES KENNETH CHANG President 732-718-7767 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NJ 25MA08717800) |
Enumeration Date | 2014-01-27 |
Last Update Date | 2015-01-28 |