| NPI | 1659857266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIMITRA DENISE PALLIS Director Of Credentialing 201-874-9084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2021-08-04 |