Provider Demographics
NPI:1811678642
Name:PJL GROUP
Entity type:Organization
Organization Name:PJL GROUP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VP
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:LABRIOLA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:201-264-7040
Mailing Address - Street 1:50 S FRANKLIN TPKE
Mailing Address - Street 2:
Mailing Address - City:RAMSEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07446-2522
Mailing Address - Country:US
Mailing Address - Phone:201-962-7633
Mailing Address - Fax:
Practice Address - Street 1:335 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07648-2001
Practice Address - Country:US
Practice Address - Phone:201-962-7635
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-25
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty