| NPI | 1255647822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH FELIX Director 973-267-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: NJ 38mc00388700) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2010-08-20 |