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Organization
ADVANCED CHIROPRACTIC CENTER, PA
Active
Organization
ADVANCED CHIROPRACTIC CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE GRAZIOLI (ASS'T OFFICE MANAGER)
(856) 662-4455
Entity
Organization
Contact information
Practice address
2123 BROWNING RD, PENNSAUKEN, NJ 08110-1910
(856) 662-4455
(856) 662-5600
Mailing address
2123 BROWNING RD, PENNSAUKEN, NJ 08110-1910
(856) 662-4455
(856) 662-5600
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00341200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6097103
—
NJ
Enumeration date
10/19/2007
Last updated
04/15/2008
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