Individual
DR. BRIAN M WRAITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
323 BERGEN BLVD, SUITE 3, FAIRVIEW, NJ 07022-1334
(201) 945-2032
(201) 945-8873
Mailing address
323 BERGEN BLVD, SUITE 3, FAIRVIEW, NJ 07022-1334
(201) 945-2032
(201) 945-8873
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00622800
NJ
111N00000X
Chiropractor
X009946
NY
Other
Enumeration date
02/12/2007
Last updated
06/19/2008
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