| NPI | 1720575210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA BURNETT Billing Manager 856-534-5307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine (Licence: NJ 25MA08277400) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2021-01-29 |