| NPI | 1770043515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCO DEL VALLE President 732-277-7243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2019-03-20 |