Organization
RECHARGE CHIROPRACTIC AND SPORTS REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DISPENZIERE DC (CO-OWNER/CHIROPRACTOR)
(908) 956-3984
Entity
Organization
Contact information
Practice address
55 US HIGHWAY 202, FAR HILLS, NJ 07931-2445
(908) 956-3984
Mailing address
55 US HIGHWAY 202, FAR HILLS, NJ 07931-2445
(908) 956-3984
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275157729
INDIVIDUAL NPI
NJ
01
—
1689264632
INDIVIDUAL NPI
NJ
Enumeration date
02/27/2023
Last updated
09/12/2023
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