| NPI | 1912663048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISOL J REYES Rcm 973-688-8543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 207T00000X Neurological Surgery | |
| 207X00000X Orthopaedic Surgery | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2021-11-12 |
| Last Update Date | 2021-12-17 |