Organization
OLD TAPPAN CHIROPRACTIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY JOHN LAROCCA D.C. (OWNER)
(201) 497-6612
Entity
Organization
Contact information
Practice address
1 DEWOLF RD STE 208, OLD TAPPAN, NJ 07675
(201) 497-6612
(201) 497-6614
Mailing address
1 DEWOLF RD STE 208, OLD TAPPAN, NJ 07675-7084
(201) 497-6612
(201) 497-6614
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00582100
NJ
Other
Enumeration date
01/30/2007
Last updated
05/30/2018
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