| NPI | 1649485343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL EDENZON Chiropractor 856-761-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: PA DC-007149-L) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: NJ 38mc00534300) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2009-12-10 |