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Organization

ESSEX VALLEY SPINE CARE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VICTOR THOMAS VERLEZZA D.C. (PRESIDENT)
(973) 266-7860
Entity
Organization

Contact information

Practice address
310 CENTRAL AVE, SUITE 307, EAST ORANGE, NJ 07018-2835
(973) 266-7860
(973) 266-7861
Mailing address
310 CENTRAL AVE, SUITE 307, EAST ORANGE, NJ 07018-2835
(973) 266-7860
(973) 266-7861

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
MC04817
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0021849
NJ
Enumeration date
04/24/2008
Last updated
04/24/2008
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