Organization
ATLAS GENTLE EFFECTIVE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EILEEN MCGOUGH D.C. (OWNER)
(732) 462-6686
Entity
Organization
Contact information
Practice address
124 W MAIN ST, FREEHOLD, NJ 07728-2049
(732) 462-6686
(732) 462-5512
Mailing address
124 W MAIN ST, FREEHOLD, NJ 07728-2049
(732) 462-6686
(732) 462-5512
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MCO3315
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
605906
PTAN
NJ
Enumeration date
03/06/2012
Last updated
03/06/2012
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