Organization
SPINE SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCO ANTONIO LOPEZ DC (DOCTOR/OWNER)
(973) 742-0927
Entity
Organization
Contact information
Practice address
1187 MAIN AVE STE 1D, CLIFTON, NJ 07011-2252
(973) 742-0927
(888) 373-2114
Mailing address
PO BOX 7036, WEST ORANGE, NJ 07052-7036
(973) 742-0927
(888) 373-2114
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
38MC00673900
NJ
111NN0400X
Neurology Chiropractor
X0116921
NY
Other
Enumeration date
09/29/2010
Last updated
05/04/2020
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