| NPI | 1043762065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY GOLDENBERG Chiropractor 732-442-5542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NJ 38MC00672600) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |