Organization
CONGRESS REHABILITATION CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNESTO MARTICORENA D.C. (CHIROPRACTOR)
(973) 732-3505
Entity
Organization
Contact information
Practice address
91 CONGRESS ST., NEWARK, NJ 07105
(973) 732-3505
Mailing address
91 CONGRESS ST., NEWARK, NJ 07105
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC 4155
NJ
Other
Enumeration date
08/24/2009
Last updated
08/26/2009
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