NPI | 1720323983 |
---|---|
Entity Type | Organization |
Authorized Contact | JIGNYASA DESAI Physician 201-898-0481 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
Enumeration Date | 2012-11-29 |
Last Update Date | 2017-11-16 |