Integrated Healthcare of Montclair, LLC
NPI #1063770477 in Montclair, New Jersey
Provider Information
- NPI Number
- 1063770477
- Entity Type
- Organization
- Organization Name
- Integrated Healthcare of Montclair, LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Apr 24, 2012
- Last Updated
- Apr 24, 2012
Practice Location
- Address
- 295 BLOOMFIELD AVE
- Address 2
- COMMERCIAL SUITE 1
- City
- Montclair
- State
- New Jersey
- ZIP Code
- 07042-3643
- Phone
- (973) 744-1155
Authorized Official
- Name
- DR. TYRAN G MINCEY, D.C.
- Title
- PRESIDENT
- Phone
- (973) 744-1155
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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