| NPI | 1760928030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH BAKER Owner 201-503-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2025-08-16 |