Organization
MEDICAL CENTERS OF NORTHERN NEW JERSEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANA PICCIRILLO DC (CEO)
(678) 849-3782
Entity
Organization
Contact information
Practice address
195 S MAPLE AVE, RIDGEWOOD, NJ 07450-5142
(973) 953-8105
(770) 643-2011
Mailing address
195 S MAPLE AVE, RIDGEWOOD, NJ 07450-5142
(973) 953-8105
(770) 643-2011
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/29/2011
Last updated
01/29/2011
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