Individual
MICHAEL D DIFAZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
34 RIDGEDALE AVE, EAST HANOVER, NJ 07936-1012
(973) 386-9007
(973) 386-1342
Mailing address
34 RIDGEDALE AVE, EAST HANOVER, NJ 07936-1012
(973) 386-9007
(973) 386-1342
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00152800
NJ
Other
Enumeration date
05/20/2006
Last updated
02/22/2012
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