Bloomfield Spine & Rehabilitation

NPI 1093038689 - Chiropractor - 111NR0400X

NPI Details
NPI 1093038689
Enumeration Date 03/10/2010
Last Updated 03/10/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name VINCENT M VINCENT
Position OWNER
Phone (973) 233-7104
Fax
Practice Location
1255 BROAD ST
SUITE 207
BLOOMFIELD NJ, 07003-3000, US
Phone (973) 233-7104
Fax
Business Location
1255 BROAD ST
SUITE 207
BLOOMFIELD NJ, 07003-3000, US
Phone (973) 233-7104
Fax
Toxanomy
Taxonomy Code 111NR0400X
License State New Jersey
License Number 38MC00679600
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According to our database, Bloomfield Spine & Rehabilitation NPI is 1093038689, taxonomy code is 111NR0400X and license number is 38MC00679600, license state is located at New Jersey. Bloomfield Spine & Rehabilitation physically located at 1255 Broad St, Bloomfield NJ, 07003-3000. NPI Number 1033115704 has the healthcare provider type.

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1093038689 NPI number is provided on an as is basis without warranty of any kind. 1093038689 is maintained by the National Plan & Provider Enumeration System. The contents of Bloomfield Spine & Rehabilitation are for informational purposes only.