Old Tappan Chiropractic, PA

NPI #1215073515 in Old Tappan, New Jersey

Provider Information

NPI Number: 1215073515
Entity Type: Organization
Organization Name: Old Tappan Chiropractic, PA
Primary Specialty: Chiropractor
Enumeration Date: Jan 30, 2007
Last Updated: May 30, 2018

Practice Location

Address: 1 DEWOLF RD STE 208
City: Old Tappan
State: New Jersey
ZIP Code: 07675
Phone: (201) 497-6612

Authorized Official

Name: DR. GARY JOHN LAROCCA, D.C.
Title: OWNER
Phone: (201) 497-6612

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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