Individual
MR. TRAVIS JOHN IMPELLIZZERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
424 S MAIN ST, FORKED RIVER, NJ 08731-4654
(609) 971-3500
Mailing address
424 S MAIN ST, FORKED RIVER, NJ 08731-4654
(609) 971-3500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038012500
IL
Other
Enumeration date
09/04/2013
Last updated
04/12/2018
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