| NPI | 1619129202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN T MINGOIA Owner 201-436-0911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 111N00000X Chiropractor |
| 171100000X Acupuncturist | |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2021-11-10 |