| NPI | 1275792277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY J NOSAL Co Owner 732-821-9979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00617600) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01136900) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2008-11-11 |