| NPI | 1215123641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARD DEBERNARDIS Chiropractor 732-683-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2013-07-31 |