| NPI | 1841632973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH G. IBRAHIM President 973-243-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine (Licence: NJ 25MA07777500) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2013-07-17 |