Male or Other

Dr. Glenn N. Collazo D.C.

Chiropractor in Park Ridge, NJ(View on Map)

Full Name

Dr. Glenn Nicholas Collazo D.C.

NPI Number

1376513051

NPI Type

Individual Provider

Gender

Male

Enumeration Date

01/25/2006

Specialties

(Taxonomies)

Code

111N00000X

Primary Taxonomy

Yes

Licenses

State

New Jersey

License Number

38MC00430900

Contact
Information

Purpose

Mailing
Location

Address

12 WORTENDYKE RD
12 WORTENDYKE RD

City

Park Ridge
Park Ridge

State

NJ
NJ

Postal Code

07656-2046
07656-2046

Country

US
US

Telephone Number

(201) 750-7246
(201) 750-7246

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

Data last updated by provider on 07/05/2011

Provider Address

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