| NPI | 1417328295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY DUFFIN Credentialing Specialist 856-677-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00726900) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |