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Individual

DR. PETER ANTHONY GRATALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
244 JOHNSON AVE, TEANECK, NJ 07666-3309
(201) 836-9558
(201) 836-7967
Mailing address
244 JOHNSON AVE, TEANECK, NJ 07666-3309
(201) 836-9558
(201) 836-7967

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MCO3019
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MCO3019
STATE LICENSE
NJ
Enumeration date
09/21/2006
Last updated
07/08/2007
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