NPI 1134440589

Broadway Spine Care

Organisation Chiropractor North Bergen, NJ

Practice location

Address: 7711 Broadway, North Bergen, NJ 07047-5728
Phone: (201) 766-2648
Fax: (201) 766-2650

Authorised official

Name: Jeffrey Paul Kavalin
Title: Partner
Phone: (201) 766-2648

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 38MC00353600 (NJ)

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Registry record

NPI: 1134440589
Entity type: Organization
NPI issued: 21 Jun 2010
Record last updated: 21 Jun 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.