| NPI | 1578886180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANONMANI ANTONY Owner 302-519-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 208100000X Physical Medicine & Rehabilitation | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2018-10-11 |