| NPI | 1689816860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHIAS H WIEDERHOLZ Owner 609-588-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2024-05-29 |