| NPI | 1588455323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC D FREEMAN Part Owner: Managing Member 732-906-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 208VP0000X Pain Medicine Pain Medicine | |
| 208VP0014X Pain Medicine Interventional Pain Medicine | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2025-05-13 |
| Last Update Date | 2025-05-13 |