| NPI | 1417993809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW SPEESLER President 732-469-6005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2022-07-21 |