| NPI | 1912989765 |
|---|---|
| Other Name | DR. GARY GOODMARK |
| Entity Type | Organization |
| Authorized Contact | GARY VICTOR GOODMARK Doctor 201-891-4121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2007-11-16 |