Organization
NORTH NJ SPINE & REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY PICCILLO (CLINICAL MANAGER)
(914) 376-6100
Entity
Organization
Contact information
Practice address
64 RIVER RD, SUMMIT, NJ 07901-1443
(914) 376-6100
(914) 470-5056
Mailing address
64 RIVER RD, SUMMIT, NJ 07901-1443
(914) 376-6100
(914) 470-5056
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
38MC00731100
NJ
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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