Individual
DR. ERIC ROY VON DER LIETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
43 HAWTHORNE AVE, PARK RIDGE, NJ 07656-1249
(201) 505-1600
Mailing address
43 HAWTHORNE AVE, PARK RIDGE, NJ 07656-1249
(201) 505-1600
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00496900
NJ
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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