| NPI | 1770755639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE J BUSSANICH Owner 201-840-7533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NJ 25MB08234500) |
| Additional Taxonomies | 207YS0012X |
| 207R00000X Internal Medicine (Licence: NJ 25MA04969400) | |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2011-10-04 |