| NPI | 1396750980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN M. MILLER Office Manager 908-474-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00475900) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC0046220) |
| 174400000X Specialist (Licence: NJ 40QA01132800) | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2007-07-17 |