| NPI | 1871710798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN L GERSHON President 757-496-2050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: VA 0101048068) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2012-06-29 |