| NPI | 1780352625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL R INGUI Chairman 201-962-9066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 171100000X Acupuncturist |
| 225100000X Physical Therapist | |
| Enumeration Date | 2021-09-04 |
| Last Update Date | 2024-03-18 |