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Individual

DR. THEODORE FRANK MELNIK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
942 BROAD ST, CLIFTON, NJ 07013-2515
(973) 458-0606
(973) 458-0011
Mailing address
942 BROAD ST, CLIFTON, NJ 07013-2515
(973) 458-0606
(973) 458-0011

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00355900
NJ
111N00000X
Chiropractor
X005377
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MC00355900
NJ STATE CHIRO LICENSE NO
NJ
Enumeration date
04/23/2007
Last updated
12/31/2007
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