| Organization Name: | ADVANCE CHIROPRACTIC CLINICS P C |
| NPI Number: | 1194118752 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL BAREMBOYM (PRESIDENT) |
| Mailing Address: | 57 Brant Ave Suite 102 Clark |
| State: | NJ US |
| Postal Code: | 070661568 |
| Phone Number: | 7323401006 |
| Fax Number: | 7323401433 |
| NPI Enumeration Date: | 03/06/2015 |
| NPI Last Update Date: | 03/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | 38 MC00568300 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |