| NPI | 1578863858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FAILLA Partner 732-303-1425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 171100000X Acupuncturist |
| 225100000X Physical Therapist | |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2015-07-16 |