Organization
LIFELINE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHE;;E R CAPPUCCIO D.C. (CO- OWNER)
(908) 653-1440
Entity
Organization
Contact information
Practice address
1130 RARITAN RD, CRANFORD, NJ 07016-3378
(908) 653-1440
(908) 653-0177
Mailing address
1130 RARITAN RD, CRANFORD, NJ 07016-3378
(908) 653-1440
(908) 653-0177
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
MC4421
NJ
111N00000X
Chiropractor
Primary
MC4916
NJ
Other
Enumeration date
10/12/2006
Last updated
08/22/2020
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