| NPI | 1154701092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL REIZIS Managing Member 732-894-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ 40QA01350900) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NJ 25MZ00054200) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-06-05 |