NPI | 1396006318 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS WILLIAM GUSTAFSON Owner 732-683-0200 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00554200) |
Enumeration Date | 2012-06-06 |
Last Update Date | 2012-06-06 |