| NPI | 1083011175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEAL B. BLAXBERG Chiropractor/Owner 410-484-0666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD 01269) |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2015-04-23 |