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Organization
SPORTSMED CHIROPRACTIC LLC
Active
Organization
SPORTSMED CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT KHALAF (MANAGER)
(201) 803-7695
Entity
Organization
Contact information
Practice address
784 FRANKLIN AVE, SUITE 230, FRANKLIN LAKES, NJ 07417-1306
(201) 819-0090
(201) 797-1055
Mailing address
784 FRANKLIN AVE, SUITE 230, FRANKLIN LAKES, NJ 07417-1306
(201) 819-0090
(201) 797-1055
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00313700
NJ
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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