Bleeker Street Chiropractic LLC

NPI #1649606567 in Newark, New Jersey

Provider Information

NPI Number: 1649606567
Entity Type: Organization
Organization Name: Bleeker Street Chiropractic LLC
Primary Specialty: Chiropractor
Enumeration Date: Sep 24, 2013
Last Updated: Sep 24, 2013

Practice Location

Address: 45 BLEEKER ST
Address 2: FIRST FLOOR
City: Newark
State: New Jersey
ZIP Code: 07102-1913
Phone: (973) 230-4222

Authorized Official

Name: ANTHONY FAVA, DC
Title: OWNER
Phone: (973) 230-4222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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