| NPI | 1760976120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID PERNA Manager 973-251-2189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: NJ 25MA10186300) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2025-05-28 |