| NPI | 1821394503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL DAVID SCHENKER Owner 732-341-2822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: NJ 25MA04118800) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2011-01-28 |