| NPI | 1275832321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD BOGOS Doctor 302-677-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2012-02-16 |