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Organization
NORTHEASTERN SPINAL HEALTH AND REHABILITATION LLC
Active
Organization
NORTHEASTERN SPINAL HEALTH AND REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ROMAN CZUPAK D.C. (OWNER)
(973) 812-0202
Entity
Organization
Contact information
Practice address
1037 ROUTE 46 STE 203, CLIFTON, NJ 07013-2459
(973) 812-0202
(973) 812-0505
Mailing address
1037 ROUTE 46 STE 203, CLIFTON, NJ 07013-2459
(973) 812-0202
(973) 812-0505
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00628700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60192385
NJ HEALTH PROVIDER
NJ
Enumeration date
07/05/2006
Last updated
09/27/2022
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