Individual provider · Type 1 NPI
Thomas Haveron, DC
Chiropractor · Newark, NJ
NPI number
1710063607
Active
Practice location
The Therapy Center At Wilson Towers, 41 Wilson Avenue
Newark, NJ 07105
Fax (973) 589-8203
Mailing address
41 Wilson Avenue
Newark, NJ 07105
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 38MC00344800 (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 1710063607
Thomas Haveron, DC's National Provider Identifier is 1710063607, issued on Oct 31, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Newark, NJ. The record was last updated on Jul 8, 2007.