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Organization

HIGH CREST FUNCTIONAL MEDICINE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NEAL BOSE (PARTNER)
(973) 808-5550
Entity
Organization

Contact information

Practice address
50 FAIRFIELD RD, FAIRFIELD, NJ 07004-2414
(973) 808-5550
(973) 808-5999
Mailing address
50 FAIRFIELD RD, FAIRFIELD, NJ 07004-2414
(973) 808-5550
(973) 808-5999

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
25MB03782400
NJ

Other

Enumeration date
10/02/2008
Last updated
10/02/2008
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