Organization
BROADWAY SPINE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY PAUL KAVALIN D.C. (PARTNER)
(201) 766-2648
Entity
Organization
Contact information
Practice address
7711 BROADWAY, NORTH BERGEN, NJ 07047-5728
(201) 766-2648
(201) 766-2650
Mailing address
7711 BROADWAY, NORTH BERGEN, NJ 07047-5728
(201) 766-2648
(201) 766-2650
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00353600
NJ
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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