| NPI | 1124195425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINICK ANTHONY DAGOSTINO Doctor 973-772-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: NJ 38MC00541800) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2010-06-08 |