| NPI | 1790735959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM F THIMMEL Clinic Director 201-794-6868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2020-08-22 |