Individual
MR. SAMUEL PRATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
275 CHESTNUT ST # 169, NEWARK, NJ 07105-1570
(973) 465-4410
Mailing address
MANUFACTURERS PL # 2, 1, NEWARK, NJ 07105
(973) 465-4410
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
FEF417A
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SAMUEL8
—
NJ
Enumeration date
04/17/2019
Last updated
04/17/2019
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