| NPI | 1609294776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK WESTON Managing Member 857-928-2418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME118400) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME118400) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME117606) | |
| 111N00000X Chiropractor (Licence: FL CH11179) | |
| 171100000X Acupuncturist (Licence: FL AP3212) | |
| 163WG0000X Registered Nurse, General Practice (Licence: FL RN9368022) | |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2014-10-02 |