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Organization
DANIEL J. DEJIANNE DC
Active
Organization
DANIEL J. DEJIANNE DC
Active
Other names
Herbertsville Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL J. DEJIANNE DC (OWNER)
(732) 458-0800
Entity
Organization
Contact information
Practice address
1800 LANES MILL RD, BRICK, NJ 08724-5204
(732) 458-0800
(732) 458-5809
Mailing address
1800 LANES MILL RD, BRICK, NJ 08724-5204
(732) 458-0800
(732) 458-5809
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00195700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1142909
—
NJ
Enumeration date
10/26/2007
Last updated
10/26/2007
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