| NPI | 1720756216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE BOGDOL Revenue Cycle Director 609-845-3988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2021-08-31 |