| NPI | 1720314032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JUDE LOQUASTO Sole Member 908-310-4252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: PA DC001064L) |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2009-10-20 |