| NPI | 1003043852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH BURGESS Office Manager 973-371-2011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00427700) |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2009-06-19 |