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Organization

SM CHIROPRACTIC&PAIN CLINIC, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAMUE C. PARK D.C. (CHIROPRACTOR)
(201) 886-7080
Entity
Organization

Contact information

Practice address
810 ABBOTT BLVD, #304, FORT LEE, NJ 07024-4151
(201) 886-7080
(201) 886-8069
Mailing address
810 ABBOTT BLVD, #304, FORT LEE, NJ 07024-4151
(201) 886-7080
(201) 886-8069

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC05716
NJ

Other

Enumeration date
05/14/2007
Last updated
08/22/2020
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