NPI | 1235177130 |
---|---|
Doing Business As | CLINTON STREET CHIROPRACTIC CENTER |
Entity Type | Organization |
Authorized Contact | MICHAEL SCOTT GACCIONE Owner Chiropractor 973-624-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ MC04690) |
Enumeration Date | 2006-06-03 |
Last Update Date | 2020-08-22 |