| NPI | 1285005884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK BRUCE BERBERIAN Owner 201-819-8545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: NJ 25MA09655600) |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2022-08-30 |