Organization
KEITH J O'CONNELL D.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH J O'CONNELL D.C. (OWNER)
(201) 444-1988
Entity
Organization
Contact information
Practice address
61 CRESCENT AVE, SUITE B, WALDWICK, NJ 07463-1431
(201) 444-1988
(201) 444-8709
Mailing address
61 CRESCENT AVE., SUITE B, WALDWICK, NJ 07463
(201) 444-1988
(201) 444-8709
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00268600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5231400
—
NJ
Enumeration date
10/25/2013
Last updated
10/25/2013
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