Individual provider · Type 1 NPI
Immaculate Orlando, DC
Chiropractor · Bayonne, NJ
NPI number
1083238216
Active
Practice location
546 Avenue C
Bayonne, NJ 07002-3704
Fax (201) 437-1572
Mailing address
10 W 46th St
Bayonne, NJ 07002-4003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 38MC00495600 (NJ) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
2 other providers at this address
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- Charles Peter Gonzales, DCChiropractor Bayonne, NJ NPI 1245300292
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About NPI 1083238216
Immaculate Orlando, DC's National Provider Identifier is 1083238216, issued on Jun 3, 2020. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Bayonne, NJ. The record was last updated on Jun 2, 2026.