| NPI | 1639308877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE J BUSSANICH Owner 201-941-3939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25ma07688700) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25ma06277300) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2011-10-04 |