NPI | 1205106465 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT ZUNIGA Owner 908-810-7424 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: NJ 25MB02229300) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00514300) |
363A00000X Physician Assistant | |
Enumeration Date | 2012-01-05 |
Last Update Date | 2012-01-05 |