Individual
DR. HEIDI FENTZKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
6000 KENNEDY BLVD W, WEST NEW YORK, NJ 07093-1414
(973) 838-8399
Mailing address
4 GALLOWAY TER, KINNELON, NJ 07405-3214
(973) 838-8399
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00476000
NJ
Other
Enumeration date
10/22/2014
Last updated
09/01/2016
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