Peter Bassora, D.C. Valid NPI

Individual provider · Chiropractor · Fairfield, NJ

NPI

1558419317

Type

Individual (Type 1)

Primary specialty

Chiropractor

Specialty group

Chiropractic Providers

Taxonomy code

111N00000X

License number

38MC00616000 (NJ)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-01-08

Last updated

2013-10-23