| NPI | 1376852798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE A ADDESA President 908-456-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2024-06-12 |