Individual
DR. MICHELE STISO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
124 INMAN AVE, COLONIA, NJ 07067-1822
(732) 381-0375
Mailing address
124 INMAN AVE, COLONIA, NJ 07067-1822
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC05431
NJ
Other
Enumeration date
06/19/2006
Last updated
07/08/2007
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