Organization
PARK PLACE CHIROPRACTIC AND REHABILITATION
Active
Organization
PARK PLACE CHIROPRACTIC AND REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY STEPAN BOZIAN DC (PRESIDENT)
(973) 824-2225
Entity
Organization
Contact information
Practice address
17 ACADEMY ST, NEWARK, NJ 07102-2923
(973) 824-2225
(973) 824-5454
Mailing address
17 ACADEMY ST, NEWARK, NJ 07102-2923
(973) 824-2225
(973) 824-5454
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
MC03260
NJ
261Q00000X
Clinic/Center
38MCOO326000
NJ
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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