| NPI | 1952463267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM WALSH Chiropractor 732-899-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ mc2602) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ QA01049100) |
| 208D00000X General Practice (Licence: NJ MB53521) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2008-06-25 |