| NPI | 1548482367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES F BONANNO Owner 973-546-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ MC03621) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ QA008981) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |