| NPI | 1750017687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA BRACILOVIC Director 609-454-0760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2022-07-25 |