| NPI | 1598037889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE BENIZZI Manager 609-585-0006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: NJ 25MA08038100) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00618900) |
| 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: NJ 25MA07057900) | |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-01 |