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Individual

DR. MICHAEL JOHN ACANFORA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
120 LEFANTE WAY STE 1, BAYONNE, NJ 07002-5060
(201) 858-4444
(201) 858-4049
Mailing address
734 BROADWAY, BAYONNE, NJ 07002
(201) 858-0444
(201) 858-4049

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00502900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002416S66
MEDICARE RENDERING
NJ
01
083603
MEDICARE GROUP
NJ
Enumeration date
07/27/2006
Last updated
10/25/2021
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