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Organization

PEREIRA CHIROPRACTIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAULO PEREIRA (OWNER)
(973) 465-1500
Entity
Organization

Contact information

Practice address
311 CHESTNUT ST, NEWARK, NJ 07105-1557
(973) 465-1500
Mailing address
311 CHESTNUT ST, NEWARK, NJ 07105-1557
(973) 465-1500

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
38MC00609800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
142641
PTAN
NJ
Enumeration date
01/22/2007
Last updated
03/05/2009
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