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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