Organization
ADVANCED THERAPEUTICS CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAELENE CALLAHAN DC (SOLE MANAGER)
(732) 640-0725
Entity
Organization
Contact information
Practice address
764 EASTON AVE STE 5, SOMERSET, NJ 08873-1856
(732) 640-0725
(732) 640-0724
Mailing address
764 EASTON AVE STE 5, SOMERSET, NJ 08873-1856
(732) 640-0725
(732) 640-0724
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00609100
NJ
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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