Organization · Type 2 NPI
Prime Total Pain Clinic PC
Chiropractor · Palisades Park, NJ
NPI number
1154859122
Active
Practice location
118 Broad Ave Ste 10
Palisades Park, NJ 07650-2717
Fax (201) 941-1157
Mailing address
118 Broad Ave., Suite 10
Palisades Park, NJ 07650
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 38MC00671900 (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.
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About NPI 1154859122
Prime Total Pain Clinic PC's National Provider Identifier is 1154859122, issued on Jun 2, 2017. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Palisades Park, NJ. The record was last updated on Jul 21, 2022.