Organization
JOSEPH LICITRA DC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH LICITRA DC (OWNER)
(201) 247-5363
Entity
Organization
Contact information
Practice address
300 BROADACRES DR STE 126A, BLOOMFIELD, NJ 07003-3153
(973) 470-0632
(973) 893-8259
Mailing address
300 BROADACRES DR STE 126A, BLOOMFIELD, NJ 07003-3153
(973) 470-0632
(973) 893-8259
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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