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Individual

DR. GLEN G CIANCIULLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
422 ELMORA AVE, ELIZABETH, NJ 07208-1553
(908) 289-6515
(908) 576-0982
Mailing address
422 ELMORA AVE, ELIZABETH, NJ 07208-1553
(908) 289-6515
(908) 576-0982

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00441600
NJ

Other

Enumeration date
01/27/2006
Last updated
12/30/2012
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