Individual provider · Type 1 NPI
Michael John Fanizzo, DC
Chiropractor · Bloomfield, NJ
NPI number
1679773048
Active
Practice location
245 Bloomfield Avenue
Bloomfield, NJ 07003
Fax (973) 743-9299
Mailing address
235 Park Avenue
Bay Head, NJ 08742
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 38MC00167600 (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 1679773048
Michael John Fanizzo, DC's National Provider Identifier is 1679773048, issued on Jul 23, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Bloomfield, NJ. The record was last updated on Jul 23, 2007.