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Organization
MUNDIE CHIROPRACTIC
Active
Organization
MUNDIE CHIROPRACTIC
Active
Other names
Shore Spine and Sports Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC MUNDIE DC (OWNER/PROVIDER)
(732) 503-8332
Entity
Organization
Contact information
Practice address
2 GARFIELD AVE, TOMS RIVER, NJ 08753-7172
(732) 503-8332
Mailing address
312 PROSPECT AVE, PINE BEACH, NJ 08741-1045
(732) 503-8332
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669915435
NPI
—
01
—
38MC00739700
CHIROPRACTIC LICENSE NUMBER
NJ
Enumeration date
01/14/2020
Last updated
08/13/2021
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