| NPI | 1881822161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN MANZO Managing Member 732-528-5533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 225100000X Physical Therapist | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2013-08-23 |