| NPI | 1700944147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID P PODELL President 201-840-1980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| 111N00000X Chiropractor | |
| 2085N0700X | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2013-10-27 |