Broad Ave Chiropractic LLC

NPI #1750990024 in Ridgefield, New Jersey

Provider Information

NPI Number: 1750990024
Entity Type: Organization
Organization Name: Broad Ave Chiropractic LLC
Primary Specialty: Chiropractor
Enumeration Date: Jul 23, 2020
Last Updated: Jul 23, 2020

Practice Location

Address: 669 BROAD AVE STE 204
City: Ridgefield
State: New Jersey
ZIP Code: 07657-1631
Phone: (201) 917-3300

Authorized Official

Name: HYUNIK HWANGBO, DC
Title: PRESIDENT
Phone: (914) 450-8881

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X
Physical Therapist	225100000X
Chiropractor	111N00000X	Primary

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