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

TaxonomyCodeLicense
Chiropractor Primary 111N00000X38MC00167600 (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.