| NPI | 1841500881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIJAYA R DASIKA President 973-735-4655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: NJ 25MA03289800) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-11-11 |