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Individual

SALVADOR GONZALEZ RUIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
758 BLOOMFIELD AVE, WEST CALDWELL, NJ 07006-6710
(862) 702-8929
Mailing address
1775 WINDSOR RD APT 438, TEANECK, NJ 07666-3077
(347) 510-2343

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00770800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
38MC00770800
CHIROPRACTIC LICENSE
NJ
Enumeration date
10/20/2020
Last updated
10/20/2020
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