| NPI | 1629341441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK STISO Owner 732-381-0375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: NJ mc001183) |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2012-02-10 |