Organization
COASTLINE CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN M. LYCHOCK SR. D.C. (PRESIDENT)
(732) 381-7878
Entity
Organization
Contact information
Practice address
1107 ST. GEORGE AVE., COLONIA, NJ 07067
(732) 381-7878
(732) 388-1015
Mailing address
1107 ST. GEORGE AVE., COLONIA, NJ 07067
(732) 381-7878
(732) 388-1015
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
07/21/2006
Last updated
08/22/2020
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