GLEN W SECOR

Dr GLEN W SECOR is a male medical professional, specializing in Chiropractic. He graduated in 1985 from Life Chiropractic College.

Contact

42 LAKE ST
UPPER SADDLE RIVER
NJ
074581851

Tel: 2019348515

GLEN W SECOR Information

Npi 1932259751
Pac Id 6608916291
Professional Enrollment Id I20091211000350
Last Name SECOR
First Name GLEN
Middle Name W
Suffix
Gender M
Credential
Medical School Name LIFE CHIROPRACTIC COLLEGE
Graduation Year 1985
Primary Specialty CHIROPRACTIC
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 42 LAKE ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City UPPER SADDLE RIVER
State NJ
Zip Code 074581851
Phone Number 2019348515
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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