| NPI | 1619129186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JOSEPH GANNON Owner 856-424-9220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00264900) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2010-08-10 |