Organization
INJURY CARE CENTER OF KEARNY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO BARRESE DC (OWNER)
(973) 349-3350
Entity
Organization
Contact information
Practice address
715 KEARNY AVE, KEARNY, NJ 07032-3005
(973) 349-3350
(973) 349-3351
Mailing address
715 KEARNY AVE, KEARNY, NJ 07032-3005
(973) 349-3350
(973) 349-3351
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MC05963
STATE LICENSE
NJ
Enumeration date
08/12/2022
Last updated
08/12/2022
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