Old Tappan Chiropractic, Pa

NPI 1215073515 - Chiropractor - 111N00000X

NPI Details
NPI 1215073515
Enumeration Date 01/30/2007
Last Updated 05/03/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GARY JOHN GARY
Position OWNER
Phone (201) 497-6612
Fax (201) 497-6614
Practice Location
183 OLD TAPPAN RD
SUITE F2
OLD TAPPAN NJ, 07675-7042, US
Phone (201) 497-6612
Fax (201) 497-6614
Business Location
183 OLD TAPPAN RD
SUITE F2
OLD TAPPAN NJ, 07675-7042, US
Phone (201) 497-6612
Fax (201) 497-6614
Toxanomy
Taxonomy Code 111N00000X
License State New Jersey
License Number 38MC00582100
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According to our database, Old Tappan Chiropractic, Pa NPI is 1215073515, taxonomy code is 111N00000X and license number is 38MC00582100, license state is located at New Jersey. Old Tappan Chiropractic, Pa physically located at 183 Old Tappan Rd, Old Tappan NJ, 07675-7042. NPI Number 1033115704 has the healthcare provider type.

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1215073515 NPI number is provided on an as is basis without warranty of any kind. 1215073515 is maintained by the National Plan & Provider Enumeration System. The contents of Old Tappan Chiropractic, Pa are for informational purposes only.