Organization
DISTANO CHIROPRACTIC CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY DISTANO D.C. (OWNER)
(201) 991-0050
Entity
Organization
Contact information
Practice address
655 KEARNY AVENUE, SUITE #102, KEARNY, NJ 07032-2942
(201) 991-0050
(201) 991-2383
Mailing address
655 KEARNY AVENUE, SUITE #102, KEARNY, NJ 07032-2942
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00655500
NJ
Other
Enumeration date
05/10/2007
Last updated
08/22/2007
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