| NPI | 1215236161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH LEWANDOWSKI Medical Director 732-580-4186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ MB57910) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00479700) |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2011-03-17 |