Organization
BACK AND NECK CENTER OF BRICK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE M KOZIOL DC (CHIROPRACTOR)
(732) 477-6767
Entity
Organization
Contact information
Practice address
387 BRICK BLVD, BRICK, NJ 08723-6010
(732) 477-6767
(732) 477-9333
Mailing address
387 BRICK BLVD, BRICK, NJ 08723-6010
(732) 477-6767
(732) 477-9333
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00329800
NJ
Other
Enumeration date
11/26/2008
Last updated
06/24/2014
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