| NPI | 1821431305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARETA COUBAROUS Attending Physician 267-879-9260 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NJ 25MB 08055900) |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2013-04-15 |