Organization
SPINE CENTRAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN MELLUSI DC (OWNER)
(201) 486-2883
Entity
Organization
Contact information
Practice address
185 CENTRAL AVE STE 102, EAST ORANGE, NJ 07018-3332
(201) 486-2883
(862) 520-1339
Mailing address
185 CENTRAL AVE STE 102, EAST ORANGE, NJ 07018-3332
(201) 486-2883
(862) 520-1339
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
171100000X
Acupuncturist
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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