Individual
EDWARD CARL STIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., C.C.S.P.
Contact information
Practice address
276 MAIN ST, METUCHEN, NJ 08840-2453
(732) 549-7444
Mailing address
3 S LOCUST AVE, EDISON, NJ 08817-4773
(732) 248-0941
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
38MC00423100
NJ
111NS0005X
Sports Physician Chiropractor
DC-004734-L
PA
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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