Glenn Nicholas Collazo in Park Ridge - Chiropractor
Glenn Nicholas Collazo - NPI 1376513051
Glenn Nicholas Collazo is a Chiropractor in Park Ridge, New Jersey. Glenn Nicholas Collazo practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Glenn Nicholas Collazo is 1376513051. The last update date is 2011-07-05.
Glenn Nicholas Collazo's current location address is 12 Wortendyke Rd, Park Ridge, New Jersey. You can contact this provider via phone number 2017507246 and fax number 2014976614. The mailing address for Glenn Nicholas Collazo is 12 Wortendyke Rd, Park Ridge, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenn Nicholas Collazo |
|---|---|
| Address | 12 Wortendyke Rd, Park Ridge, New Jersey |
| Phone Number | 2017507246 |
| Fax Number | 2014976614 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1376513051 |
|---|---|
| Provider Enumeration Date | 2006-01-25 |
| Last Updated Date | 2011-07-05 |
Provider Mailing Address Detail
| Address | 12 Wortendyke Rd |
|---|---|
| City | Park Ridge |
| State | New Jersey (NJ) |
| Post Code | 76562046 |
| Phone Number | 2017507246 |
| Fax Number | 2014976614 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 38MC00430900 |
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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 |
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What is the Glenn Nicholas Collazo's 1376513051?
The Glenn Nicholas Collazo's NPI (National Provider Identifier) Number is 1376513051. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Glenn Nicholas Collazo located?
The Glenn Nicholas Collazo is located at 12 Wortendyke Rd, Park Ridge, NJ 76562046.
What is Glenn Nicholas Collazo's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Glenn Nicholas Collazo is Chiropractor, and the taxonomy code that categorizes this field of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1376513051 to Glenn Nicholas Collazo?
The Centers for Medicare & Medicaid Services originally issued the 1376513051 to Glenn Nicholas Collazo on 2006-01-25.
When was the Glenn Nicholas Collazo's information last updated?
The Glenn Nicholas Collazo's information was last updated on 2011-07-05.