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Individual

DR. IAN ALFONZO BREWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1449 RARITAN RD, CLARK, NJ 07066-1266
(908) 721-1095
Mailing address
1449 RARITAN RD, CLARK, NJ 07066-1266
(908) 721-1095

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00810200
NJ
2255A2300X
Athletic Trainer
25MT00293700
NJ

Other

Enumeration date
01/24/2025
Last updated
02/12/2026
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