| NPI | 1356631717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT KHALAF Member/Officer 201-803-7695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00313700) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00630100) |
| 111N00000X Chiropractor (Licence: NJ 38MC00619200) | |
| 225100000X Physical Therapist (Licence: NJ 40QA01154700) | |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2011-04-20 |