Individual
DR. BRUCE ALAN BAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1 WOODBRIDGE CTR, SUITE 245, WOODBRIDGE, NJ 07095-1150
(732) 855-8522
(732) 634-7920
Mailing address
1855 CORPORAL KENNEDY ST, APT. 2K, BAYSIDE, NY 11360-1455
(718) 631-7937
(732) 634-7920
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
000583
CT
111N00000X
Chiropractor
004830
NY
111N00000X
Chiropractor
5462
FL
111N00000X
Chiropractor
Primary
MC03258
NJ
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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