| NPI | 1891257093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN LORIA Director Of Operations 973-285-7821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2019-04-05 |