| NPI | 1699454975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT KHAMISH Owner 732-618-3220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2023-07-14 |