Organization
PROACTIVE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN C. MELLUSI DC (OWNER)
(908) 903-1199
Entity
Organization
Contact information
Practice address
1072 VALLEY RD, STIRLING, NJ 07980-1518
(908) 903-1199
(908) 901-1188
Mailing address
1072 VALLEY RD, STIRLING, NJ 07980-1518
(908) 903-1199
(908) 901-1188
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00502400
NJ
Other
Enumeration date
04/09/2008
Last updated
10/18/2010
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