Individual
JASON CARL TIRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6035 BLVD EAST, WEST NEW YORK, NJ 07093
(201) 453-1555
(201) 453-9841
Mailing address
6035 BLVD EAST, WEST NEW YORK, NJ 07093
(201) 453-1555
(201) 453-9841
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00433300
NJ
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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