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DR. JOHN FREDERICK CERUTTI DC

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1558319939

Individual Registrant:
DR. JOHN FREDERICK CERUTTI DC
Gender: M

Location and contact information for practice:
545 BROAD AVE  PALISADES PARK, NJ 07650-1607 US
Tel: 201-585-0277  Fax: 201-585-0943

Contact information for business:
545 BROAD AVE P. O. BOX 167 PALISADES PARK, NJ 07650-1607 US
Tel: 201-585-0277  Fax: 201-585-0943

Registration Information:
NPI: 1558319939
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
NJ38MC00219600

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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