Organization
BROADWAY SPINE CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT TARTAGLIA DC (PRESIDENT)
(973) 222-5107
Entity
Organization
Contact information
Practice address
714 BROADWAY, PATERSON, NJ 07514-3402
(973) 222-5107
Mailing address
10 LAKESIDE PL, SPARTA, NJ 07871-3154
(973) 222-5107
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
38MC00590400
NJ
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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