# HIGH CREST INTEGRATIVE MEDICINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376713073
- **Authorized official:** DR. EDWARD CATALANO DC (PARTNER)
- **Authorized official phone:** (972) 808-5550

## Contact information

- **Practice address:** 50 FAIRFIELD RD, FAIRFIELD, NJ 07004-2414
- **Practice address phone:** (973) 808-5550
- **Practice address fax:** (973) 808-5999
- **Mailing address:** 50 FAIRFIELD RD, FAIRFIELD, NJ 07004-2414
- **Mailing address phone:** (973) 808-5550
- **Mailing address fax:** (973) 808-5999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NS0005X | Sports Physician Chiropractor | MC03264 | NJ | — |
| 208D00000X | General Practice Physician | MA062525 | NJ | Yes |

## Other

- **Enumeration date:** 03/10/2008
- **Last updated:** 03/10/2008