| NPI | 1093878852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL H GROSSMAN President 732-671-3535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA07722700) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2012-07-20 |