| NPI | 1912307422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANG HO SONG Owner 732-660-8715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MB07701500) |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2014-09-03 |