| NPI | 1851548762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER PONZINI Manager 973-595-6444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00630100) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: NJ 40QA01282900) |
| 111N00000X Chiropractor (Licence: NJ 38MC00619200) | |
| 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: NJ 25MB06381000) | |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2009-01-06 |