| NPI | 1912551243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMMAR BAZERBASHI Owner 732-631-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-07-25 |