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Organization
BEYLEA CHIROPRACTIC CENTRE
Active
Organization
BEYLEA CHIROPRACTIC CENTRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS GRAY (CHIROPRACTOR)
(732) 244-2225
Entity
Organization
Contact information
Practice address
683 BAY AVE, TOMS RIVER, NJ 08753-3407
(732) 244-2225
Mailing address
683 BAY AVE, TOMS RIVER, NJ 08753-3407
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00254300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
472858
MEDICARE
—
Enumeration date
12/12/2007
Last updated
12/12/2007
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