| NPI | 1962915504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J MAZZELLA Owner 732-872-6595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 171100000X Acupuncturist |
| 225100000X Physical Therapist | |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2017-11-06 |