Organization
MOUNTAINSIDE WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN M TOTIN DC (OWNER)
(732) 236-4701
Entity
Organization
Contact information
Practice address
1139 SPRUCE DR, SECOND FLOOR, MOUNTAINSIDE, NJ 07092-2221
(908) 233-3993
Mailing address
512 ELIAS AVE, WOODBRIDGE, NJ 07095-2208
(732) 236-4701
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00617100
NJ
Other
Enumeration date
06/24/2006
Last updated
08/22/2020
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