Organization
LINCOLN PARK PAIN & REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES G NICOLA D.O. (PRESIDENT)
(201) 434-2855
Entity
Organization
Contact information
Practice address
2520 JOHN F KENNEDY BLVD, JERSEY CITY, NJ 07304-2054
(201) 434-2855
Mailing address
2520 JOHN F KENNEDY BLVD, JERSEY CITY, NJ 07304-2054
(201) 434-2855
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
38MC00470400
NJ
Other
Enumeration date
05/08/2007
Last updated
08/22/2020
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