NPI | 1497073365 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES RUSSELL REYNOLDS Owner 973-655-9800 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00427700) |
Enumeration Date | 2010-05-17 |
Last Update Date | 2010-05-17 |