Individual
DR. BRIAN EDWARD KICZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
216 ANDERSON AVE, REAR OFFICE, FAIRVIEW, NJ 07022-1468
(201) 313-8880
(201) 313-8880
Mailing address
216 ANDERSON AV., REAR OFFICE, FAIRVIEW, NJ 07022
(201) 313-8880
(201) 313-8880
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00587000
NJ
Other
Enumeration date
04/24/2007
Last updated
07/28/2008
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