| NPI | 1811028210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMMY I MASRI Owner 973-777-0934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: NJ 25MA07567400) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2017-03-20 |