Organization
REVIVAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND J LOPEZ DC (OWNER/CHIROPRACTOR)
(201) 485-7518
Entity
Organization
Contact information
Practice address
9 POST RD STE D3, OAKLAND, NJ 07436-1615
(201) 485-7518
(201) 485-7517
Mailing address
9 POST RD STE D3, OAKLAND, NJ 07436-1615
(201) 485-7518
(201) 485-7517
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
171100000X
Acupuncturist
—
—
Other
Enumeration date
07/22/2020
Last updated
06/09/2022
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