Individual
DR. MARIO V GLAVICIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
520 MAIN ST STE 303, FORT LEE, NJ 07024-4501
(201) 947-7805
(201) 947-7806
Mailing address
520 MAIN STREET, SUITE 303, FORT LEE, NJ 07024
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC05221
NJ
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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