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Organization

UNION MEDICAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VICTOR FANO D.C. (PRESIDENT)
(908) 851-2666
Entity
Organization

Contact information

Practice address
2182 MORRIS AVE, UNION, NJ 07083-5902
(908) 851-2666
(908) 851-2299
Mailing address
2182 MORRIS AVE, UNION, NJ 07083-5902
(908) 851-2666
(908) 851-2299

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
38MC00493100
NJ
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA07067900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
024775
GROUP ID #
NJ
Enumeration date
11/17/2006
Last updated
09/16/2007
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