Park Place Chiropractic And Rehabilitation

NPI 1285079590 - Clinic/Center - 261Q00000X

NPI Details
NPI 1285079590
Enumeration Date 05/01/2013
Last Updated 05/01/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name GARY STEPAN GARY
Position PRESIDENT
Phone (973) 824-2225
Fax (973) 824-5454
Practice Location
17 ACADEMY ST
NEWARK NJ, 07102-2923, US
Phone (973) 824-2225
Fax (973) 824-5454
Business Location
17 ACADEMY ST
NEWARK NJ, 07102-2923, US
Phone (973) 824-2225
Fax (973) 824-5454
Toxanomy
Taxonomy Code 261Q00000X
License State New Jersey
License Number 38MCOO326000
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According to our database, Park Place Chiropractic And Rehabilitation NPI is 1285079590, taxonomy code is 261Q00000X and license number is 38MCOO326000, license state is located at New Jersey. Park Place Chiropractic And Rehabilitation physically located at 17 Academy St, Newark NJ, 07102-2923. NPI Number 1033115704 has the healthcare provider type.

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1285079590 NPI number is provided on an as is basis without warranty of any kind. 1285079590 is maintained by the National Plan & Provider Enumeration System. The contents of Park Place Chiropractic And Rehabilitation are for informational purposes only.