| NPI | 1831357607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN LOUIS KOVACS Owner 609-585-2881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00593000) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NJ MC005930) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2010-09-15 |