Individual
MR. MARC D MATTURRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
77 PASSAIC AVE, PASSAIC, NJ 07055-4854
(973) 779-0140
(973) 779-0061
Mailing address
77 PASSAIC AVE, PASSAIC, NJ 07055-4854
(973) 779-0140
(973) 779-0061
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00633100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-3624553
TAX ID
NJ
Enumeration date
04/06/2007
Last updated
02/24/2017
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