| NPI | 1316369150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L DESTEFANO D.C. 201-880-8866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00663300) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: NJ 38MC00663300) |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-02-11 |