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Organization
SHORE CHRIPRACTIC CENTER
Active
Organization
SHORE CHRIPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID L HADLEY D. C. (CHIROPRACTOR)
(609) 646-0578
Entity
Organization
Contact information
Practice address
2400 SHEPHERD CIR, NORTHFIELD, NJ 08225-1419
(609) 646-0578
(609) 646-9289
Mailing address
2400 SHEPHERD CIR, NORTHFIELD, NJ 08225-1419
(609) 646-0578
(609) 646-9289
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00243800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0091581000
AMERIHEALTH PIN
NJ
01
—
194544
BCBS PIN
NJ
Enumeration date
10/16/2007
Last updated
10/16/2007
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