| NPI | 1669619706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER KLYASHTORNY Owner 732-738-3963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25MA06926200) |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2009-01-12 |