| NPI | 1588711261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PASQUALE PUCCIARELLI CEO 908-474-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ 40QA01004300) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00475900) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2018-06-21 |