| 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 (Licence: NJ 25MA068015) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2011-03-09 |