| NPI | 1942529870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY IODICE Practice Manager 973-400-1716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207LH0002X Anesthesiology Hospice and Palliative Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2022-08-26 |