Organization
MONTCLAIR SPINE & SPORTS REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE DE LA TORRE JR. DC (OWNER)
(973) 942-0220
Entity
Organization
Contact information
Practice address
292 BLOOMFIELD AVE FL 2, MONTCLAIR, NJ 07042-3624
(973) 942-0220
(973) 942-0222
Mailing address
54 LEWIS PL, TOTOWA, NJ 07512-2648
(973) 885-8877
(973) 942-0220
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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