| NPI | 1902296833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE S CAMPOS President 201-942-4555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 171100000X Acupuncturist |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine | |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-10-06 |