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Individual

JOSEPH CHARLES DE FAZIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
549 SUMMIT AVE, JERSEY CITY, NJ 07306-2701
(201) 533-1004
(201) 533-1008
Mailing address
14 E PARK PL, RUTHERFORD, NJ 07070-2314
(201) 460-1643
(201) 438-7084

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC001673
NJ

Other

Enumeration date
05/31/2006
Last updated
03/03/2009
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