Organization
ADVANCED CENTER FOR INJURY & WELLNESS CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY FAVA DC (OWNER)
(973) 942-9400
Entity
Organization
Contact information
Practice address
392 TOTOWA RD, TOTOWA, NJ 07512-2075
(973) 942-9400
(973) 942-9300
Mailing address
392 TOTOWA RD, TOTOWA, NJ 07512-2075
(973) 942-9400
(973) 942-9300
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00098900
NJ
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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