NPI | 1134553910 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSHUA LANDER Member 203-226-2366 |
Organization Subpart ? | No |
Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: CT 001472) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CT 000254) |
Enumeration Date | 2013-08-28 |
Last Update Date | 2013-08-28 |