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1144277336
JOSEPH CHARLES DE FAZIO
JERSEY CITY, NJ
NPI
1144277336
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: NJ MC001673)
Enumeration Date
2006-05-31
Last Update Date
2009-03-03
Business Address
-- JOSEPH CHARLES DE FAZIO D.C.
549 SUMMIT AVE
JERSEY CITY, NJ 07306-2701
Phone number: 201-533-1004
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Mailing Address
-- JOSEPH CHARLES DE FAZIO D.C.
14 E PARK PL
RUTHERFORD, NJ 07070-2314
Phone number: 201-460-1643
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