| NPI | 1285061838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED DAVIS Ownerq 973-839-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38mc00206300) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 38mc00206300) |
| 208D00000X General Practice (Licence: NJ 38mc00206300) | |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2013-09-27 |