| NPI | 1639105380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL M CREDICO Owner 973-338-3620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2018-01-29 |