| NPI | 1588125124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS KOTOPOULOS Physician / Owner 201-871-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2019-03-27 |