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>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1649595331

Individual Registrant:
Gender: M
Sole Proprietor

Location and contact information for practice:
Tel: 908-507-9431  Fax: --

Contact information for business:
Tel: 908-507-9431  Fax: --

Registration Information:
NPI: 1649595331
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers

Legacy codes, insurance codes and state license numbers:



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