Organization
BLOOMINGDALE CHIROPRACTIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE EVERETT BREWSTER JR. D.C. (OWNER/ CHIROPRACTOR)
(973) 492-1568
Entity
Organization
Contact information
Practice address
235 UNION AVE, BLOOMINGDALE, NJ 07403-1924
(973) 492-1568
(973) 492-0279
Mailing address
235 UNION AVE, BLOOMINGDALE, NJ 07403-1924
(973) 492-1568
(973) 492-0279
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
00203800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790756120
NPI
—
Enumeration date
04/20/2012
Last updated
04/20/2012
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