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Organization

PRIME CHIROPRACTIC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONGSUN PARK (PRESIDENT)
(201) 446-6701
Entity
Organization

Contact information

Practice address
118 BROAD AVE, SUITE N10, PALISADES PARK, NJ 07650-2717
(201) 313-1122
(201) 941-1157
Mailing address
118 BROAD AVE, SUITE N10, PALISADES PARK, NJ 07650-2717
(201) 313-1122
(201) 941-1157

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
012249
NJ

Other

Enumeration date
06/04/2014
Last updated
06/04/2014
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