Organization
WEST ESSEX CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL RULLO (CHIROPRACTIC PHYSICIAN)
(646) 275-7465
Entity
Organization
Contact information
Practice address
54 CARLOS DR, FAIRFIELD, NJ 07004-2117
(646) 275-7465
Mailing address
PO BOX 10940, FAIRFIELD, NJ 07004-0940
(646) 275-7465
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00712900
NJ
Other
Enumeration date
08/05/2016
Last updated
12/07/2016
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