| NPI | 1427414010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN T MINGOIA Medical 201-436-0911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00645300) |
| 111N00000X Chiropractor (Licence: NJ 38MC00473900) | |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2022-01-04 |