Organization
BRIELLE INTEGRATED HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J MAZZELLA (OWNER)
(732) 872-6595
Entity
Organization
Contact information
Practice address
629 HIGGINS AVE, BRIELLE, NJ 08730-1427
(732) 872-6595
Mailing address
2373 HIGHWAY 36, ATLANTIC HIGHLANDS, NJ 07716-2560
(732) 872-6595
(732) 872-1508
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
171100000X
Acupuncturist
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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