| NPI | 1295157956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC DESIDERIO Owner 732-671-9005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-05-06 |