| NPI | 1679279608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY CALVERT CEO 732-245-8477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2023-02-01 |