| NPI | 1447527759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES JOHN GENOVA President 856-582-2112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: NJ 38MC00364200) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2011-11-30 |