Organization
BACK TO HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY R SERLE D.C. (OWNER/DOCTOR)
(973) 242-1402
Entity
Organization
Contact information
Practice address
45 ACADEMY ST, STE. 401, NEWARK, NJ 07102-2924
(973) 242-1402
Mailing address
45 ACADEMY ST, STE. 401, NEWARK, NJ 07102-2924
(973) 242-1402
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC005560
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982701520
PROVIDER NPI
NJ
Enumeration date
06/18/2008
Last updated
06/18/2008
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