| NPI | 1750612891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED SHAHID SHAH Physician Liaison 201-222-9370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2014-04-28 |