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Organization
NUTLEY CHIROPRACTIC, LLC
Active
Organization
NUTLEY CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN CLARKE DC (OWNER)
(973) 235-1515
Entity
Organization
Contact information
Practice address
25 HIGH ST, NUTLEY, NJ 07110-1131
(973) 235-1515
(973) 235-0452
Mailing address
25 HIGH ST, NUTLEY, NJ 07110-1131
(973) 235-1515
(973) 235-0452
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477674836
INDIVIDUAL NPI
NJ
Enumeration date
11/20/2017
Last updated
11/20/2017
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