Organization · Type 2 NPI
Joseph Licitra DC LLC
Chiropractor · Bloomfield, NJ
NPI number
1902520109
Active
Practice location
300 Broadacres Dr Ste 126A
Bloomfield, NJ 07003-3153
Fax (973) 893-8259
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | None listed |
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 1902520109
Joseph Licitra DC LLC's National Provider Identifier is 1902520109, issued on Sep 30, 2022. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Bloomfield, NJ. The record was last updated on Sep 30, 2022.