| NPI | 1578501524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER ANTHONY DENINO Partner 732-202-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ MC003514) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 4OQAO1152600) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2012-03-05 |