Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 38MC00313600 | NJ |
NPI | 1104855519 |
---|---|
Provider Name | David I Graber |
First Address | Parsippany, NJ 07054-1867 |
Second Address | Parsippany, NJ 07054-1867 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 03/04/2017 |