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Organization
PATCH CHIROPRACTIC PA
Active
Organization
PATCH CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY DUFFIN (CREDENTIALING SPECIALIST)
(856) 677-4000
Entity
Organization
Contact information
Practice address
701 E GATE DR, SUITE 304, MOUNT LAUREL, NJ 08054-3838
(856) 677-4000
(856) 234-3014
Mailing address
605 GLEN AVE, MOORESTOWN, NJ 08057-1125
(856) 335-5060
(856) 793-9392
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00726900
NJ
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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