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Organization
PRO HEALTH SPORTS AND WELLNESS CENTER ROCKAWAY LLC
Active
Organization
PRO HEALTH SPORTS AND WELLNESS CENTER ROCKAWAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERRICK LAWLOR DO (MD/OWNER)
(973) 627-7888
Entity
Organization
Contact information
Practice address
350 ROUTE 46, ROCKAWAY, NJ 07866-3827
(973) 627-7888
Mailing address
161 E MAIN ST, DENVILLE, NJ 07834-2647
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/16/2017
Last updated
08/25/2017
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