Individual
DR. MARK A COTTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
875 POOLE AVE, HAZLET, NJ 07730-2041
(732) 264-9444
Mailing address
128 MANTOLOKING RD, BRICK, NJ 08723-5814
(732) 477-1256
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00608200
NJ
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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