Essex Valley Spine Care Pc

NPI 1093980666 - Chiropractor - 111NR0400X

NPI Details
NPI 1093980666
Enumeration Date 04/24/2008
Last Updated 04/24/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name VICTOR THOMAS VICTOR
Position PRESIDENT
Phone (973) 266-7860
Fax (973) 266-7861
Practice Location
310 CENTRAL AVE
SUITE 307
EAST ORANGE NJ, 07018-2835, US
Phone (973) 266-7860
Fax (973) 266-7861
Business Location
310 CENTRAL AVE
SUITE 307
EAST ORANGE NJ, 07018-2835, US
Phone (973) 266-7860
Fax (973) 266-7861
Toxanomy
Taxonomy Code 111NR0400X
License State New Jersey
License Number MC04817
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According to our database, Essex Valley Spine Care Pc NPI is 1093980666, taxonomy code is 111NR0400X and license number is MC04817, license state is located at New Jersey. Essex Valley Spine Care Pc physically located at 310 Central Ave, East Orange NJ, 07018-2835. NPI Number 1033115704 has the healthcare provider type.

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1093980666 NPI number is provided on an as is basis without warranty of any kind. 1093980666 is maintained by the National Plan & Provider Enumeration System. The contents of Essex Valley Spine Care Pc are for informational purposes only.