| NPI | 1194734517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE JONATHAN BASS President 973-378-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00612800) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2008-03-24 |