| NPI | 1699048322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER WOHL Manager 201-758-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 171100000X Acupuncturist (Licence: NJ 25MZ00059400) | |
| 207LP2900X Anesthesiology Pain Medicine | |
| 207X00000X Orthopaedic Surgery | |
| 208100000X Physical Medicine & Rehabilitation | |
| 208VP0014X Pain Medicine Interventional Pain Medicine | |
| 225100000X Physical Therapist (Licence: NJ 40QA00729000) | |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2013-05-24 |