| NPI | 1568209658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS P. RAGUKONIS Owner 201-634-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2024-07-15 |