| NPI | 1639406937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGOR PRIVEN Medical Director 732-845-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2009-11-06 |