| NPI | 1174691505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC I JOHNSON President Owner 732-842-5246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00202500) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2007-11-16 |