| NPI | 1831970714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGE MENKIN Owner 732-226-6603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2023-10-09 |