| NPI | 1639502057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE TATE Offie Manager 732-451-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2013-08-21 |