Organization
LAKEWOOD WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STUART JEFFREY PODOB D.C. (PRESIDENT)
(732) 363-7900
Entity
Organization
Contact information
Practice address
1700 MADISON AVE, LAKEWOOD, NJ 08701-1253
(732) 363-7900
Mailing address
1700 MADISON AVE, LAKEWOOD, NJ 08701-1253
(732) 363-7900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00649200
NJ
Other
Enumeration date
11/08/2006
Last updated
10/17/2008
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