Organization
SUMMIT CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY FAVA DC (MEMBER)
(973) 703-7008
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
111N00000X
Chiropractor
Primary
MC04563
NJ
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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