Individual
GARY R. SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
30 HIGHWAY 34 N, COLTS NECK, NJ 07722-0538
(732) 462-0049
(732) 462-0059
Mailing address
BOX 538, COLTS NECK SHOP CTR, COLTS NECK, NJ 07722-0538
(732) 462-0049
(732) 462-0059
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
MC0181900
NJ
Other
Enumeration date
01/30/2006
Last updated
12/05/2007
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