| NPI | 1821283490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS M. HAVERON Owner 908-629-0779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38mc00344800) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40qa01050700) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2007-09-07 |