| NPI | 1265820559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD SOFO Owner 609-921-1705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: NJ 38MC00374900) |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2015-01-08 |