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Individual

TIMOTHY JUDE DIECKMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
631 JAMAICA BLVD, SUITE #1, TOMS RIVER, NJ 08757-4000
(732) 341-6555
(732) 557-6369
Mailing address
PO BOX 372, PINE BEACH, NJ 08741
(732) 341-6555
(732) 557-6369

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38NJMC0047700
NJ

Other

Enumeration date
01/18/2007
Last updated
08/07/2012
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