# EDISON CHIROPRACTIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598364127
- **Authorized official:** DUCKSOON PARK DC (OWNER)
- **Authorized official phone:** (201) 310-5193

## Contact information

- **Practice address:** 1581 ROUTE 27 UNIT 4, EDISON, NJ 08817-3477
- **Practice address phone:** (732) 327-0225
- **Mailing address:** 1581 ROUTE 27 UNIT 4, EDISON, NJ 08817-3477
- **Mailing address phone:** (732) 327-0225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | Yes |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 10/24/2020
- **Last updated:** 10/24/2020