Organization

Davis Integrated Medicine Llc

Chiropractor in Montclair, NJ(View on Map)

Legal Business Name

Davis Integrated Medicine Llc

NPI Number

1285061838

NPI Type

Organization

Enumeration Date

09/27/2013

Specialties

(Taxonomies)

Code

111N00000X
208D00000X
208100000X

Primary Taxonomy

Yes
No
No

Licenses

State

New Jersey

License Number

38MC00206300

Contact
Information

Purpose

Mailing
Location

Address

309 ORANGE RD
309 ORANGE RD

City

Montclair
Montclair

State

NJ
NJ

Postal Code

07042-4451
07042-4451

Country

US
US

Telephone Number

(973) 839-1003
(973) 839-1003

Authorized Official

Name

Alfred Davis

Title or Position

OWNERQ

Telephone Number

(973) 839-1003

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/27/2013

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