| NPI | 1346354495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT BRIAN KRISANDA Doctor 908-213-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ MC3814) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01122700) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2012-09-26 |