| NPI | 1790716702 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | OTTO HAROLD FISHER Vice President 732-967-1001 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine | 
| Enumeration Date | 2006-07-06 | 
| Last Update Date | 2020-08-22 |