Individual
DR. MICHAEL JOHN FANIZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
245 BLOOMFIELD AVENUE, BLOOMFIELD, NJ 07003
(973) 743-8888
(973) 743-9299
Mailing address
235 PARK AVENUE, BAY HEAD, NJ 08742
(732) 892-7272
(973) 743-9299
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00167600
NJ
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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