| NPI | 1417018292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH MAZANOWSKI President 732-229-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2012-08-16 |