Organization
BROADWAY CHIROPRACTIC & REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER MAZUROVSKY (PRESIDENT)
(917) 648-1005
Entity
Organization
Contact information
Practice address
473 BROADWAY, BAYONNE, NJ 07002-3697
(201) 471-2273
(201) 471-2274
Mailing address
473 BROADWAY, BAYONNE, NJ 07002-3697
(201) 471-2273
(201) 471-2274
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00677300
NJ
225100000X
Physical Therapist
38MC00677300
NJ
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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