Dibartolo Chiropractic, LLC
Chiropractor in Egg Harbor Township, NJ. Organization (NPI-2).
NPI number1043373640
StatusActive
Last updated in NPPESJan 27, 2016
Details
- NPI
- 1043373640
- Entity type
- Organization (NPI-2)
- Legal business name
- Dibartolo Chiropractic, LLC
- Organization subpart
- No
- Enumeration date
- Dec 18, 2006
- Last updated
- Jan 27, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 38mc00311300 | NJ | Yes |
Practice location
4036 Ocean Heights AveEgg Harbor Township, NJ 08234-7505
Phone 609-926-1100 · Fax 609-926-0054
Mailing address
4036 Ocean Heights AveEgg Harbor Township, NJ 08234-7505
Phone 609-926-1100 · Fax 609-926-0054
Authorized official
Philip Anthony Dibartolo
Owner Chiropractor
6099261100
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