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Organization

JOHN M. LIACI, D.C.-LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN M LIACI SR. DC (SOLE PROPRIETOR)
(973) 509-7675
Entity
Organization

Contact information

Practice address
32 SLEEPY HOLLOW DR, OAK RIDGE, NJ 07438-9351
(973) 509-7675
Mailing address
100 VALLEY RD, MONTCLAIR, NJ 07042-2200
(973) 509-7675

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC04291
NJ

Other

Enumeration date
01/24/2012
Last updated
01/24/2012
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