| NPI | 1972630788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH G. A. IBRAHIM President 201-436-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: NJ 25MA07777500) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2013-08-21 |