Organization
HACKENSACK INJURY & WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL MANUEL CARRION D.C. (VICE PRESIDENT)
(201) 489-3400
Entity
Organization
Contact information
Practice address
335A MAIN ST, HACKENSACK, NJ 07601-5804
(201) 489-3400
(201) 489-3411
Mailing address
335A MAIN ST, HACKENSACK, NJ 07601-5826
(201) 489-3400
(201) 489-3411
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
—
NJ
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NJ
225100000X
Physical Therapist
—
NJ
Other
Enumeration date
06/23/2010
Last updated
12/28/2011
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