| NPI | 1558675645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVI K VENKATARAMAN CEO 973-779-7361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 2065821) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NJ 25MA06850700) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2013-07-03 |