Individual provider · Type 1 NPI

Glenn Nicholas Collazo, DC

Chiropractor · Park Ridge, NJ

NPI number 1376513051 Active

Practice location

12 Wortendyke Rd
Park Ridge, NJ 07656-2046

Call (201) 750-7246 Map

Fax (201) 497-6614

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X38MC00430900 (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 1376513051

Glenn Nicholas Collazo, DC's National Provider Identifier is 1376513051, issued on Jan 25, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Park Ridge, NJ. The record was last updated on Jul 5, 2011.