| NPI | 1942429238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT J POGORELEC Owner 973-773-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NJ 25MB07663200) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: NJ 25MB07663200) |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: NJ 25MB07663200) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |