| NPI | 1568625473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER TAVARES Managing Member 732-226-5552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00644200) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2008-07-16 |