Individual
DR. RICHARD ADEL KOUEFATI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3 JESSICA WAY, WAYNE, NJ 07470-5489
(973) 634-7587
Mailing address
3 JESSICA WAY, WAYNE, NJ 07470-5489
(973) 634-7587
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00690400
NJ
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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