Individual
DR. KENNETH T. CIESLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
61 E MAIN ST, BOGOTA, NJ 07603-1369
(201) 390-1816
Mailing address
12 OSBORNE TER, WAYNE, NJ 07470-4362
(973) 709-0574
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
38MC00490000
NJ
2255A2300X
Athletic Trainer
Primary
25MT00033300
NJ
Other
Enumeration date
08/24/2006
Last updated
09/11/2025
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