| NPI | 1407165111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCO ANTONIO LOPEZ Doctor/Owner 973-742-0927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: NJ 38MC00673900) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: NY X0116921) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2020-05-04 |