Individual
DR. JOHN MATHAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1622 PARKER AVE # 2B, FORT LEE, NJ 07024-6927
(201) 592-0800
Mailing address
1622 PARKER AVE # 2B, FORT LEE, NJ 07024-6927
(201) 592-0800
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC007767100
NJ
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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