Provider Demographics
NPI:1629323274
Name:PAIN AND INJURY CENTER OF NORTH JERSEY PC
Entity Type:Organization
Organization Name:PAIN AND INJURY CENTER OF NORTH JERSEY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOESEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:SALOMONE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:973-279-0089
Mailing Address - Street 1:714 BROADWAY
Mailing Address - Street 2:SUITE 2
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07514-3402
Mailing Address - Country:US
Mailing Address - Phone:973-279-0089
Mailing Address - Fax:973-279-0090
Practice Address - Street 1:714 BROADWAY
Practice Address - Street 2:SUITE 2
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07514-3402
Practice Address - Country:US
Practice Address - Phone:973-279-0089
Practice Address - Fax:973-279-0090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-19
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC04733111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty