| NPI | 1801927397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN M GANGEMI Md 973-482-1614 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA05600600) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA06101800) |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: NJ 25MA06101800) | |
| 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: NJ 25MA05600600) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2008-05-16 |