Organization
ALL CITY SPINE AND HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMANUEL MARIE RENAUDO DC (CHIROPRACTOR)
(203) 260-3476
Entity
Organization
Contact information
Practice address
40 UNION AVE, SUITE 305, IRVINGTON, NJ 07111-3277
(203) 260-3476
Mailing address
40 UNION AVE, SUITE 305, IRVINGTON, NJ 07111-3277
(203) 260-3476
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00703500
NJ
208VP0014X
Interventional Pain Medicine Physician
28MA008569300
NJ
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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