Individual
DR. JOHN PERRY NICKELSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
150 TRIANGLE PLZ, EDGE FITNESS CENTER, RAMSEY, NJ 07446-2911
(973) 800-6570
Mailing address
150 TRIANGLE PLZ, EDGE FITNESS CENTER, RAMSEY, NJ 07446-2911
(973) 800-6570
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
00580300
NJ
Other
Enumeration date
02/21/2011
Last updated
02/21/2011
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