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Dr. Richard Edwin Glass, DC
Chiropractor in Roselle Park, New Jersey
NPI 1619026598

Richard Edwin Glass is a Chiropractor based in Roselle Park, NJ. Richard Edwin Glass practices in Roselle Park, NJ and has the professional credentials of DC. The NPI Number for Richard Edwin Glass is 1619026598 and holds a License No. MCO2870 (New Jersey).

The current practice location address for Richard Edwin Glass is 236 E Westfield Ave, Roselle Park, NJ and can be reached out via phone at 908-245-8844 and via fax at 908-245-6230.

Location: 236 E Westfield Ave, Roselle Park, NJ, 07204-2084
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619026598
Provider Name
Richard Edwin Glass
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
236 E Westfield Ave, Roselle Park, NJ, 07204-2084
Phone Number
908-245-8844
Fax Number
908-245-6230
Provider Enumeration Date
01/09/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1096001 05 NJ
institution
Provider Business Practice Location Address Details
Address
236 E Westfield Ave
City
Roselle Park
State
New Jersey
Zip
07204-2084
Phone Number
908-245-8844
Fax Number
908-245-6230
person
Provider Business Mailing Address Details
Address
236 E Westfield Ave
City
Roselle Park
State
New Jersey
Zip
07204-2084
Phone Number
908-245-8844
Fax Number
908-245-6230
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
MCO2870 (New Jersey)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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