NPI | 1225102965 |
---|---|
Former Legal Business Name | MIDSTATE CHIROPRACTIC CENTER |
Entity Type | Organization |
Authorized Contact | ALAN J WOLKOFF President 732-613-6000 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: NJ 46TR00414100) |
225100000X Physical Therapist | |
Enumeration Date | 2006-11-17 |
Last Update Date | 2011-09-15 |