| NPI | 1134430390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK D FANO President 973-928-3575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 171100000X Acupuncturist |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2025-06-16 |