| NPI | 1962807552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH IBRAHIM Owner/Md 201-436-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NJ 25MA07777500) |
| Enumeration Date | 2014-10-26 |
| Last Update Date | 2014-10-26 |