186 FAIRFIELD ROAD LLC

FAIRFIELD, NJ
NPI1629271135
Entity TypeOrganization
Authorized ContactLEN M RUSSO
Chiropractic
973-227-3388
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: NJ  4005)
Enumeration Date2007-06-11
Last Update Date2009-07-17
Business Address
186 FAIRFIELD ROAD LLC
186 FAIRFIELD RD
FAIRFIELD, NJ 07004-2423
Phone number: 973-227-3388
Mailing Address
186 FAIRFIELD ROAD LLC
39 JOHN ST
FAIRFIELD, NJ 07004-1438
Phone number: 973-227-3388