| 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 |