NPI | 1629297460 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL P GOLD Owner 973-736-8686 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: NJ NJMC1943) |
Enumeration Date | 2007-04-24 |
Last Update Date | 2020-08-22 |