| NPI | 1588146864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA L DRAKE Master Pain Specialist 856-514-1990 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2018-09-03 |
| Last Update Date | 2018-09-03 |