Individual provider · Type 1 NPI
Marie Jean Destefan, DC
Chiropractor · Union City, NJ
NPI number
1376632406
Active
Practice location
314 48th St
Union City, NJ 07087-5106
Fax (201) 865-8404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | NJMC03606 (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 1376632406
Marie Jean Destefan, DC's National Provider Identifier is 1376632406, issued on Oct 12, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Union City, NJ. The record was last updated on Jul 1, 2010.