| NPI | 1194018788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAIMUNDO MARQUEZ Chiropractor 856-690-8883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: NJ 38MC00662500) |
| 208D00000X General Practice (Licence: NJ 25MA07448700) | |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2012-07-24 |