| NPI | 1730734070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO CICCONE Medical Director 973-751-2060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-08-05 |