Icc Medical Group, LLC

NPI #1215749908 in Clifton, New Jersey

Provider Information

NPI Number: 1215749908
Entity Type: Organization
Organization Name: Icc Medical Group, LLC
Primary Specialty: Chiropractor
Enumeration Date: Jan 21, 2025
Last Updated: Jan 21, 2025

Practice Location

Address: 721 CLIFTON AVE STE 101
City: Clifton
State: New Jersey
ZIP Code: 07013-1880
Phone: (973) 343-5190

Authorized Official

Name: FERNANDO BARRESE
Title: OWNER
Phone: (973) 343-5190

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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