| NPI | 1336590652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES BRONDER President 973-851-9188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2016-06-28 |