Individual
CHARLES S CORALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
191 RAMAPO VALLEY RD, OAKLAND, NJ 07436-2509
(201) 651-0051
(201) 651-0064
Mailing address
191 RAMAPO VALLEY RD, OAKLAND, NJ 07436-2509
(201) 651-0051
(201) 651-0064
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC001845
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6428509
—
NJ
Enumeration date
07/12/2006
Last updated
11/07/2018
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