Organization
BROAD AVE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HYUNIK HWANGBO DC (PRESIDENT)
(914) 450-8881
Entity
Organization
Contact information
Practice address
669 BROAD AVE STE 204, RIDGEFIELD, NJ 07657-1631
(201) 917-3300
(201) 917-3302
Mailing address
669 BROAD AVE STE 204, RIDGEFIELD, NJ 07657-1631
(201) 917-3300
(201) 917-3302
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
171100000X
Acupuncturist
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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