| NPI | 1891344057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERGIE-ROSS MONTERO-CRUZ Physician 201-227-1299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-09-10 |