| NPI | 1992713655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIJAYA R DASIKA President 201-823-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00232600) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00234100) |
| 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: NJ 25MA03289800) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-08-22 |