Back & Spine Center of Passaic, LLC
NPI #1265899538 in Passaic, New Jersey
Provider Information
- NPI Number
- 1265899538
- Entity Type
- Organization
- Organization Name
- Back & Spine Center of Passaic, LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Jan 18, 2016
- Last Updated
- Feb 15, 2016
Practice Location
- Address
- 647 MAIN AVE
- Address 2
- SUITE 202
- City
- Passaic
- State
- New Jersey
- ZIP Code
- 07055-4934
- Phone
- (973) 473-7200
Authorized Official
- Name
- DR. RENATO M. CAPPELLO, DC
- Title
- OWNER
- Phone
- (973) 473-7200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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