| NPI | 1306242706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES HERZOG President 732-406-5030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2016-10-05 |