| NPI | 1700640448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE JACOBSON Member 973-574-2070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 111N00000X Chiropractor |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-02-13 |