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Organization

CHIROMED GROUP BAYONNE LLC

Active
Parent organization
CHIROMED GROUP LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
CHIROMED GROUP LLC
Authorized official
MR. TABISH RIZVI (CEO)
(917) 216-3329
Entity
Organization

Contact information

Practice address
10 E. 22ND STREET, BAYONNE, NJ 07002-3708
(201) 339-8889
(201) 339-2822
Mailing address
101 W 24TH ST, APT 12A, NEW YORK, NY 10011-1909
(917) 216-3329
(212) 867-8226

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
38MC00180500
NJ
207R00000X
Internal Medicine Physician
Primary
25MA08272600
NJ
261QP2000X
Physical Therapy Clinic/Center
261QP3300X
Pain Clinic/Center

Other

Enumeration date
02/14/2012
Last updated
10/26/2012
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