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Dr. Domenic A Fontanarosa, DC
Chiropractor in Hawthorne, New Jersey
NPI 1619903234

Domenic A Fontanarosa is a Chiropractor based in Hawthorne, NJ. Domenic A Fontanarosa practices in Hawthorne, NJ and has the professional credentials of DC. The NPI Number for Domenic A Fontanarosa is 1619903234 and holds a License No. 38MC00443500 (New Jersey).

The current practice location address for Domenic A Fontanarosa is 274 Lafayette Avenue, Hawthorne, NJ and can be reached out via phone at 973-423-9600 and via fax at 973-423-0403.

Location: 274 Lafayette Avenue, Hawthorne, NJ, 07506
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619903234
Provider Name
Domenic A Fontanarosa
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
274 Lafayette Avenue, Hawthorne, NJ, 07506
Phone Number
973-423-9600
Fax Number
973-423-0403
Provider Enumeration Date
06/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
611048100 01 ACS DEPT OF LABOR
institution
Provider Business Practice Location Address Details
Address
274 Lafayette Avenue
City
Hawthorne
State
New Jersey
Zip
07506
Phone Number
973-423-9600
Fax Number
973-423-0403
person
Provider Business Mailing Address Details
Address
274 Lafayette Avenue
City
Hawthorne
State
New Jersey
Zip
07506
Phone Number
973-423-9600
Fax Number
973-423-0403
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
38MC00443500 (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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