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Organization

ACTIVE CARE POMPTON LAKES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAUREN KUCHNO (OFFICE REP)
(833) 789-3227
Entity
Organization

Contact information

Practice address
203 RAMAPO AVE, POMPTON LAKES, NJ 07442-1820
(973) 635-2605
(973) 635-2646
Mailing address
17 WATCHUNG AVE STE 100, CHATHAM, NJ 07928-2700
(973) 635-2605
(973) 635-2646

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
02/14/2020
Last updated
02/14/2020
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