| NPI | 1881253052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY IODICE Practice Manager 973-400-1716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207L00000X Anesthesiology | |
| 208100000X Physical Medicine & Rehabilitation | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |