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Individual

DR. GARY STEPAN BOZIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
17 ACADEMY ST, SUITE 602, NEWARK, NJ 07102-2923
(973) 824-2225
(973) 824-5454
Mailing address
17 ACADEMY ST, SUITE 602, NEWARK, NJ 07102-2923
(973) 824-2225
(973) 824-5454

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
MC03260
NJ

Other

Enumeration date
04/22/2013
Last updated
04/22/2013
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