Organization
BACK & SPINE CENTER OF PASSAIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENATO M. CAPPELLO DC (OWNER)
(973) 473-7200
Entity
Organization
Contact information
Practice address
647 MAIN AVE, SUITE 202, PASSAIC, NJ 07055-4934
(973) 473-7200
(973) 473-7202
Mailing address
647 MAIN AVE, SUITE 202, PASSAIC, NJ 07055-4934
(973) 473-7200
(973) 473-7202
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00550700
NJ
Other
Enumeration date
01/18/2016
Last updated
02/15/2016
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