Individual
SAMUEL P SELIMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
125 MADISON ST, BOONTON, NJ 07005-2153
(973) 299-2430
(973) 299-2433
Mailing address
125 MADISON ST, BOONTON, NJ 07005-2153
(973) 299-2430
(973) 299-2433
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC02363
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3151240
—
NJ
Enumeration date
01/04/2007
Last updated
07/08/2007
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