Individual
WILLIAM STASIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1-24 KENNETH AVE, FAIR LAWN, NJ 07410-2004
(201) 887-6984
Mailing address
1-24 KENNETH AVE, FAIR LAWN, NJ 07410-2004
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00562300
NJ
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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