Individual
DR. SUSAN G PELLEGRINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
23 LINCOLN AVE, HASBROUCK HEIGHTS, NJ 07604-1007
(201) 519-3942
(201) 288-5999
Mailing address
23 LINCOLN AVE, HASBROUCK HEIGHTS, NJ 07604-1007
(201) 519-3942
(201) 288-5999
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC05034
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MC05034
STATE LICENSE
NJ
Enumeration date
04/25/2007
Last updated
07/09/2007
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