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 |