Organization
INTEGRATED HEALTHCARE OF MONTCLAIR, LLC
Active
Other names
Integrated Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYRAN G MINCEY D.C. (PRESIDENT)
(973) 744-1155
Entity
Organization
Contact information
Practice address
295 BLOOMFIELD AVE, COMMERCIAL SUITE 1, MONTCLAIR, NJ 07042-3643
(973) 744-1155
Mailing address
295 BLOOMFIELD AVE, COMMERCIAL SUITE 1, MONTCLAIR, NJ 07042-3643
(973) 744-1155
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00543600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770661647
NPI
NJ
Enumeration date
04/24/2012
Last updated
04/24/2012
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