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General NPI Number Information
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NPI Number | 1134289770
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Entity Type | Organization
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Legal Business Name | MORRIS CHIROPRACTIC GROUP
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1219 LIBERTY AVE
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City | HILLSIDE
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State | NJ
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Zip | 07205-2055
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Country | US
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Telephone | 908-282-6000
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Fax | 908-282-6555
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Provider Business Mailing Address
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Address Line | 278 MORRIS AVE
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City | ELIZABETH
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State | NJ
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Zip | 07208-3607
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Country | US
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Telephone | 908-469-4070
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Fax | 908-469-4068
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MONICA GONZALEZ
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Credential | DC
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Telephone | 908-469-4070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number |
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License Number State |
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