NPI | 1578517991 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERRY S GHOSH Doctor Of Osteopathic Medicine 201-567-2277 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: NJ 25mb07455100) |
Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NJ 25mb07455100) |
Enumeration Date | 2006-05-20 |
Last Update Date | 2010-03-15 |