NPI | 1992434625 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT OLIVIERI Authorized Official 609-886-8585 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 111N00000X Chiropractor |
Enumeration Date | 2022-06-08 |
Last Update Date | 2022-06-08 |