Dr. Brian E. Kiczek

NPI #1265621841 in Fairview, New Jersey

Provider Information

NPI Number: 1265621841
Entity Type: Organization
Organization Name: Dr. Brian E. Kiczek
Primary Specialty: Chiropractor
Enumeration Date: Oct 18, 2007
Last Updated: Oct 18, 2007

Practice Location

Address: 216 ANDERSON AVE
Address 2: REAR OFFICE
City: Fairview
State: New Jersey
ZIP Code: 07022-1468
Phone: (201) 313-8880

Authorized Official

Name: DR. BRIAN E. KICZEK, D.C.
Title: SOLE OWNER
Phone: (201) 313-8880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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