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Individual

DR. MICHAEL ROMAN CZUPAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1037 ROUTE 46 STE 203, CLIFTON, NJ 07013-2459
(973) 812-0202
(973) 812-0505
Mailing address
1037 ROUTE 46 STE 203, CLIFTON, NJ 07013-2459
(973) 812-0202
(973) 812-0505

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00628700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0637432
NJ
01
1748300P
EMBLEM HEALTH PROVIDER
NJ
01
2577448
WELLCARE
NJ
01
60192386
NJ HEALTH PROVIDER
NJ
Enumeration date
05/30/2006
Last updated
09/27/2022
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