Organization
PST WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER STEFAN TATARENKO D.C. (OWNER/CHIROPRACTOR)
(973) 865-9565
Entity
Organization
Contact information
Practice address
871 ALLWOOD ROAD, CLIFTON, NJ 07012
(973) 865-9565
(973) 365-8004
Mailing address
871 ALLWOOD ROAD, CLIFTON, NJ 07012
(973) 865-9565
(973) 365-8004
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00677900
NJ
Other
Enumeration date
11/19/2009
Last updated
12/02/2009
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