| NPI | 1740904440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD ALEXEEV Physician 732-385-5537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2024-02-14 |