| NPI | 1609280718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MAFFUCCI Managing Member 973-424-7088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2016-10-04 |