| NPI | 1821477902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL SCOTT ROSENBERG Member Manager 856-542-4523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center Pain (Licence: PA OS010569-L) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2015-05-22 |