| NPI | 1235341736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN LEDERMAN President 908-420-8057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: NJ MC 04697) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |