Individual
DR. MARIE JEAN DESTEFAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
314 48TH ST, UNION CITY, NJ 07087-5106
(201) 865-0300
(201) 865-8404
Mailing address
314 48TH ST, UNION CITY, NJ 07087-5106
(201) 865-0300
(201) 865-8404
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
NJMC03606
NJ
Other
Enumeration date
10/12/2006
Last updated
07/01/2010
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