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Organization
BLOOMFIELD TOTAL HEALTH CENTER
Active
Organization
BLOOMFIELD TOTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL M CREDICO DC (OWNER)
(973) 338-3620
Entity
Organization
Contact information
Practice address
1129 BROAD ST, BLOOMFIELD, NJ 07003-2918
(973) 338-3620
(973) 338-4849
Mailing address
1129 BROAD ST, BLOOMFIELD, NJ 07003-2918
(973) 338-3620
(973) 338-4849
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
—
NULL
111NS0005X
Sports Physician Chiropractor
—
—
171100000X
Acupuncturist
Primary
—
NULL
171100000X
Acupuncturist
Primary
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
Other
Enumeration date
06/24/2006
Last updated
01/29/2018
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