Organization
MOBILE SPORTS CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES JOSEPH BRONDER JR. DC (OWNER)
(973) 851-9188
Entity
Organization
Contact information
Practice address
149 HORSENECK RD, FAIRFIELD, NJ 07004-2306
(973) 851-9188
Mailing address
149 HORSENECK RD, FAIRFIELD, NJ 07004-2306
(973) 851-9188
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
38MC00326100
NJ
Other
Enumeration date
11/20/2013
Last updated
11/20/2013
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