| NPI | 1578896072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER N MATTIELLO EGAN President/Owner 973-714-1846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00469300) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-09-15 |