Irby Spine Care Pc

NPI 1245443779 - Chiropractor - 111N00000X

NPI Details
NPI 1245443779
Enumeration Date 05/08/2007
Last Updated 01/15/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ARCHER LEWIS ARCHER
Position PRESIDENT
Phone (201) 567-4729
Fax (201) 567-4740
Practice Location
115 GRAND AVE
ENGLEWOOD NJ, 07631-3654, US
Phone (201) 567-4729
Fax (201) 567-4740
Business Location
115 GRAND AVE
ENGLEWOOD NJ, 07631-3654, US
Phone (201) 567-4729
Fax (201) 567-4740
Toxanomy
Taxonomy Code 111N00000X
License State New Jersey
License Number 38MC00651000
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According to our database, Irby Spine Care Pc NPI is 1245443779, taxonomy code is 111N00000X and license number is 38MC00651000, license state is located at New Jersey. Irby Spine Care Pc physically located at 115 Grand Ave, Englewood NJ, 07631-3654. NPI Number 1033115704 has the healthcare provider type.

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1245443779 NPI number is provided on an as is basis without warranty of any kind. 1245443779 is maintained by the National Plan & Provider Enumeration System. The contents of Irby Spine Care Pc are for informational purposes only.