| NPI | 1710583323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA ATTANASIO Member 732-867-7955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2020-12-10 |