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Individual

DR. LORETTA A. IMBROGNO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
33 PLYMOUTH ST STE 102, MONTCLAIR, NJ 07042-2677
(973) 783-0444
(973) 783-4428
Mailing address
33 PLYMOUTH STREET, SUITE 102, MONTCLAIR, NJ 07042-4051
(973) 783-0444
(973) 783-4428

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00415400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
223556485
FED. TAX I.D. #
NJ
Enumeration date
01/03/2007
Last updated
07/21/2022
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