| NPI | 1740776228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA MAHALBASIC Billing Manager 973-970-8655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2018-07-08 |
| Last Update Date | 2018-07-08 |