Organization
DEMOULIN CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS L DEMOULIN D.C. (OWNER)
(609) 390-8490
Entity
Organization
Contact information
Practice address
52 TUCKAHOE RD, MARMORA, NJ 08223-1206
(609) 390-8490
(609) 845-1850
Mailing address
52 TUCKAHOE RD, MARMORA, NJ 08223-1206
(609) 390-8490
(609) 845-1850
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
38MC00282200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070080
MEDICARE PTAN
—
Enumeration date
10/09/2006
Last updated
10/06/2014
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