Organization
FERRY ST CHIROPRACTIC AND PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK RODRIGUES D.C. (OWNER)
(973) 589-7772
Entity
Organization
Contact information
Practice address
236 FERRY ST, NEWARK, NJ 07105-5401
(973) 589-7772
Mailing address
PO BOX 785, CLARK, NJ 07066-0785
(973) 589-7772
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
38MC00453300
NJ
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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