| NPI | 1831446673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHSEN T MICHAIL Sole Mbr 973-365-0008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NJ 25MA07077100) |
| Enumeration Date | 2012-08-11 |
| Last Update Date | 2019-03-13 |