| NPI | 1699168146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY LEE MATFUS Owner 201-294-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 225100000X Physical Therapist | |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |