Organization
FONTANAROSA CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MILA JEREMIC (OFFICE MANAGER)
(973) 423-9600
Entity
Organization
Contact information
Practice address
274 LAFAYETTE AVE, HAWTHORNE, NJ 07506-1962
(973) 423-9600
Mailing address
274 LAFAYETTE AVE, HAWTHORNE, NJ 07506-1962
(973) 423-9600
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4435
NJ
Other
Enumeration date
09/15/2006
Last updated
04/15/2011
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