| NPI | 1619221546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED TAWADROUS Owner 732-752-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NJ 25MA07842400) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |