| NPI | 1639421233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK BENCIVENGO Doctor Of Chiropractic 609-587-1881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00700500) |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2012-10-05 |