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 |