| NPI | 1639506892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH IBRAHIM Md/Owner 908-399-9835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NJ 25MA077775000) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |