Organization
BERGEN SPINE AND SPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIUSEPPE GIOVATTO JR. DC (OWNER)
(201) 389-8987
Entity
Organization
Contact information
Practice address
10 WILSEY SQ STE 132, RIDGEWOOD, NJ 07450-3729
(201) 389-8987
Mailing address
522 N MAPLE AVE APT C3, RIDGEWOOD, NJ 07450-1637
(727) 599-1695
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
—
—
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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