Organization
MAXIMIZED LIVING & WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS KANER DC (PRESIDENT)
(201) 794-4500
Entity
Organization
Contact information
Practice address
23-08 MAPLE AVE, FAIR LAWN, NJ 07410-1583
(201) 794-4500
(201) 794-4502
Mailing address
23-08 MAPLE AVE, FAIR LAWN, NJ 07410-1583
(201) 794-4500
(201) 794-4502
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
06/18/2008
Last updated
11/18/2008
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