Joseph Licitra DC LLC
NPI #1902520109 in Bloomfield, New Jersey
Provider Information
- NPI Number
- 1902520109
- Entity Type
- Organization
- Organization Name
- Joseph Licitra DC LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Sep 30, 2022
- Last Updated
- Sep 30, 2022
Practice Location
- Address
- 300 BROADACRES DR STE 126A
- City
- Bloomfield
- State
- New Jersey
- ZIP Code
- 07003-3153
- Phone
- (973) 470-0632
Authorized Official
- Name
- JOSEPH LICITRA, DC
- Title
- OWNER
- Phone
- (201) 247-5363
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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