| NPI | 1467510479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ANTHONY BRODERICK President 856-228-4477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC005756) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2010-03-12 |