NPI | 1578505830 |
---|---|
Entity Type | Organization |
Authorized Contact | BRUCE M HAIRSTON Doctor 609-652-3933 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NJ 026341) |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: NJ 25MA068015) |
Enumeration Date | 2006-06-12 |
Last Update Date | 2011-03-09 |