Individual provider · Type 1 NPI
Mario V. Glavicic, DC
Chiropractor · Fort Lee, NJ
NPI number
1659383578
Active
Practice location
520 Main St Ste 303
Fort Lee, NJ 07024-4501
Fax (201) 947-7806
Mailing address
520 Main Street, Suite 303
Fort Lee, NJ 07024
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | MC05221 (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 1659383578
Mario V. Glavicic, DC's National Provider Identifier is 1659383578, issued on Aug 12, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Fort Lee, NJ. The record was last updated on Jul 8, 2007.