Organization
INTEGRATED MEDICAL CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES F BONANNO D.C. (OWNER)
(973) 546-4400
Entity
Organization
Contact information
Practice address
357 MIDLAND AVE, GARFIELD, NJ 07026-1654
(973) 546-4400
(973) 546-5459
Mailing address
357 MIDLAND AVE, GARFIELD, NJ 07026-1654
(973) 546-4400
(973) 546-5459
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
MC03621
NJ
225100000X
Physical Therapist
Primary
QA008981
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043376692
NPI
NJ
01
—
1700942356
NPI
NJ
Enumeration date
05/02/2007
Last updated
09/11/2025
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