Individual
DR. EILEEN MCGOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
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
—
141847877
IRS TAXPAYER I.D. NUMBER
NJ
Enumeration date
09/27/2006
Last updated
07/08/2007
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