Organization
NORTHEASTERN SPINAL HEALTH AND REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ROMAN CZUPAK D.C. (OWNER)
(973) 812-0202
Entity
Organization
Contact information
Practice address
1037 ROUTE 46 STE 203, CLIFTON, NJ 07013-2459
(973) 812-0202
(973) 812-0505
Mailing address
1037 ROUTE 46 STE 203, CLIFTON, NJ 07013-2459
(973) 812-0202
(973) 812-0505
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00628700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60192385
NJ HEALTH PROVIDER
NJ
Enumeration date
07/05/2006
Last updated
09/27/2022
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