NPI 1699227686

New Jersey Pain Center PC

Organisation Chiropractor Ridgefield, NJ

Practice location

Address: 845 Broad Ave 102, Ridgefield, NJ 07657-1002
Phone: (201) 575-2783
Mailing address: 100 Winston Dr APT 6bn, Cliffside Park, NJ 07010-3264

Authorised official

Name: Insun S Park
Title: Owner
Phone: (201) 575-2783

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 38MC0052330 (NJ)

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Registry record

NPI: 1699227686
Entity type: Organization
NPI issued: 26 Oct 2016
Record last updated: 12 Oct 2018

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.