Organization
GACCIONE CHIROPRACTIC CTR PA
Active
Other names
Clinton Street Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SCOTT GACCIONE DC (OWNER CHIROPRACTOR)
(973) 624-4000
Entity
Organization
Contact information
Practice address
26 CLINTON STREET, NEWARK, NJ 07102
(973) 624-4000
(973) 624-1212
Mailing address
PO BOX 43508, UPPER MONTCLAIR, NJ 07043
(973) 624-4000
(973) 624-1212
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC04690
NJ
Other
Enumeration date
06/03/2006
Last updated
08/22/2020
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