| NPI | 1740571819 |
|---|---|
| Former Legal Business Name | N/A |
| Entity Type | Organization |
| Authorized Contact | HECTOR SAMUEL MALAVE Owner 908-444-8913 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00525900) |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2011-04-25 |