| NPI | 1881053197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON M BROOKS Owner 732-567-5477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 171100000X Acupuncturist | |
| 207R00000X Internal Medicine | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 208600000X Surgery | |
| 2086S0129X | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2025-03-10 |