| NPI | 1790319424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENCE D GROGIN Owner 201-847-2341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-03-03 |