| NPI | 1033503214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRA A. SHAPIRO Director 732-723-0023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: NJ 38MC00270800) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2015-03-25 |