Organization
SM CHIROPRACTIC & PAIN CLINIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUE C PARK (D.C.)
(201) 207-0023
Entity
Organization
Contact information
Practice address
1711 ROUTE 27, EDISON, NJ 08817-3471
(201) 207-0023
Mailing address
460 BERGEN BLVD, SUIT 304, PALISADES PARK, NJ 07650-2300
(201) 207-0023
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC05716
NJ
Other
Enumeration date
03/08/2010
Last updated
03/28/2012
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