| NPI | 1588679906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD VINCENT SOFO Sole Member/Owner 609-921-1705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: NJ MC3749) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-22 |