Organization
CHIROPRACTIC SOURCE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCO FERRUCCI D.C. (PRESIDENT)
(973) 477-8414
Entity
Organization
Contact information
Practice address
110 BLOOMFIELD AVE, SUITE B, CALDWELL, NJ 07006-5336
(973) 228-0500
(973) 228-0501
Mailing address
110 BLOOMFIELD AVE, SUITE B, CALDWELL, NJ 07006-5336
(973) 228-0500
(973) 228-0501
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00676300
NJ
Other
Enumeration date
09/02/2009
Last updated
08/19/2014
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