Joseph J Licitra in Bloomfield - Chiropractor
Joseph J Licitra - NPI 1891795514
Joseph J Licitra is a Chiropractor in Bloomfield, New Jersey. Joseph J Licitra practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Joseph J Licitra is 1891795514. The last update date is 2022-09-16.
Joseph J Licitra's current location address is 300 Broadacres Dr Ste 126a, Bloomfield, New Jersey. You can contact this provider via phone number 9734700632 and fax number 9738938259. The mailing address for Joseph J Licitra is 300 Broadacres Dr Ste 126a, Bloomfield, New Jersey. To know further, please read the information below!
Provider Profile Detail
Provider Name | Joseph J Licitra |
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Address | 300 Broadacres Dr Ste 126a, Bloomfield, New Jersey |
Phone Number | 9734700632 |
Fax Number | 9738938259 |
Sole Proprietor | Y |
Credentials | DC |
NPI Number Detail
NPI Number | 1891795514 |
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Provider Enumeration Date | 2005-07-22 |
Last Updated Date | 2022-09-16 |
Provider Mailing Address Detail
Address | 300 Broadacres Dr Ste 126a |
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City | Bloomfield |
State | New Jersey (NJ) |
Post Code | 70033153 |
Phone Number | 9734700632 |
Fax Number | 9738938259 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | 38MC00224400 |
Definition: 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 inte |
Post Comment/ Review Below
What is the unique identifier code issued to Joseph J Licitra by the Centers for Medicare & Medicaid Services (CMS)?
The Joseph J Licitra has been assigned the NPI (National Provider Identifier) 1891795514. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Joseph J Licitra's facilities are situated?
The facilities of Joseph J Licitra are physically located at the following address: 300 Broadacres Dr Ste 126A, Bloomfield, NJ, 70033153.
What is the Joseph J Licitra's specialty and taxonomy code?
The Joseph J Licitra's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
When was the Joseph J Licitra's 1891795514 issued?
The Joseph J Licitra's 1891795514 was issued on 2005-07-22.
When was the Joseph J Licitra's information last updated?
The Joseph J Licitra's information was last updated on 2022-09-16.