| NPI | 1316400179 |
|---|---|
| Doing Business As | BRICK SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JORDON CENTOFANTI Owner 732-684-9620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2020-01-07 |