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Individual

DR. MARC I JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
47 RECKLESS PL, RED BANK, NJ 07701-1750
(732) 842-5246
(732) 842-5246
Mailing address
47 RECKLESS PL, RED BANK, NJ 07701-1750
(732) 842-5246
(732) 842-5246

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00202500
NJ

Other

Enumeration date
09/21/2007
Last updated
09/21/2007
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