Organization
DR. ROBERT DESTEFANO CHIROPRACTIC AND ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT L DESTEFANO D.C. (D.C.)
(201) 880-8866
Entity
Organization
Contact information
Practice address
75 SUMMIT AVE, HACKENSACK, NJ 07601-8504
(201) 880-8866
(201) 880-8867
Mailing address
75 SUMMIT AVE, HACKENSACK, NJ 07601-8504
(201) 880-8866
(201) 880-8867
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00663300
NJ
111NS0005X
Sports Physician Chiropractor
38MC00663300
NJ
Other
Enumeration date
01/14/2014
Last updated
02/11/2014
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