| NPI | 1740273663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE L MAYORAL Medical Director Of Grop 201-392-3231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ MA068155) |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2020-08-22 |