Organization
ATLANTIC WELLNESS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN W. EASTBURN D.C. (PRESIDENT)
(732) 370-7880
Entity
Organization
Contact information
Practice address
2119 WHITESVILLE RD, TOMS RIVER, NJ 08755-2600
(732) 370-7880
(732) 370-2040
Mailing address
2119 WHITESVILLE RD, TOMS RIVER, NJ 08755-2600
(732) 370-7880
(732) 370-2040
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
38MC00587700
NJ
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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