Individual provider · Type 1 NPI
Gerard Busacco, DC
Chiropractor · North Bergen, NJ
NPI number
1336332352
Active
Practice location
518 79th Street
North Bergen, NJ 07047-5344
Fax (201) 758-1091
Mailing address
518 79th St
North Bergen, NJ 07047-4929
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 38MC00517300 (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 1336332352
Gerard Busacco, DC's National Provider Identifier is 1336332352, issued on Aug 22, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in North Bergen, NJ. The record was last updated on Jun 24, 2008.