| NPI | 1689004657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCAS RALSTON MD Pain Management/Orthopedic Surgeon 732-277-8672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NJ 243938) |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2013-11-12 |