Organization
BRIAN M. WRAITH, DOCTOR OF CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN MICHAEL WRAITH D.C. (PRESIDENT)
(201) 945-2032
Entity
Organization
Contact information
Practice address
323 BERGEN BLVD, SUITE 3, FAIRVIEW, NJ 07022-1334
(201) 945-2032
Mailing address
323 BERGEN BLVD, SUITE 3, FAIRVIEW, NJ 07022-1334
(201) 945-2032
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00622800
NJ
Other
Enumeration date
06/13/2008
Last updated
06/18/2008
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