| NPI | 1497177653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK DOUGLAS FERGUSON Owner 973-210-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC000674100) |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2014-01-07 |