| NPI | 1033248307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MACZUGA Vice President 201-823-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MCOO232600) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: NJ 38MCOO234100) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |