Organization
LIFE CHIROPRACTIC CENTER OF NEW JERSEY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEJANDRO M HERNANDEZ D.C. (OWNER)
(201) 861-2025
Entity
Organization
Contact information
Practice address
8325 KENNEDY BLVD, NORTH BERGEN, NJ 07047-4205
(201) 861-2025
Mailing address
8325 KENNEDY BLVD, NORTH BERGEN, NJ 07047-4205
(201) 861-2025
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
38MC00622100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0024457
—
NJ
Enumeration date
01/22/2008
Last updated
02/20/2013
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