| NPI | 1689142622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN J. ROMAN Authorized Representative 609-570-6980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2025-07-25 |