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 |