| NPI | 1164785333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC RONALD DESIDERIO Chiropractor 732-671-9005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38mc00569900) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2012-06-21 |