| NPI | 1043711203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES A FERRANTE Clinic Manager 732-455-1375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 111N00000X Chiropractor |
| 174400000X Specialist | |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2022-05-27 |