Dizon Wellness Center LLC
Chiropractor in Haskell, NJ. Organization (NPI-2).
NPI number1619082229
StatusActive
Last updated in NPPESFeb 15, 2011
Details
- NPI
- 1619082229
- Entity type
- Organization (NPI-2)
- Legal business name
- Dizon Wellness Center LLC
- Organization subpart
- No
- Enumeration date
- Aug 21, 2006
- Last updated
- Feb 15, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 38MC00553400 | NJ | Yes |
Practice location
1069 Ringwood AveSuite 215
Haskell, NJ 07420-1408
Phone 973-835-3400 · Fax 973-835-3411
Mailing address
1069 Ringwood AveSuite 215
Haskell, NJ 07420-1408
Phone 973-835-3400 · Fax 973-835-3411
Authorized official
Marcelino Anthony Dizon
Chiropractor
9738353400
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