| NPI | 1649591892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIT GOSWAMI President 973-866-0336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: NJ 25MA08519500) |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain (Licence: NY 256512) |
| 261QP3300X Clinic/Center, Pain (Licence: PA MD434945) | |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2017-02-13 |