Individual
GLENN C MELLUSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
185 MAIN ST STE 102, EAST ORANGE, NJ 07018
(201) 486-2883
(862) 520-1339
Mailing address
238 LINCOLN ST, BERKELEY HEIGHTS, NJ 07922-1154
(908) 531-4885
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00502400
NJ
Other
Enumeration date
05/07/2007
Last updated
09/02/2021
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