Organization
BAYSHORE CHIROPRACTIC CENTER PA
Active
Other names
Alliance Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES M DIETRICH DC (PRESIDENT)
(732) 264-8900
Entity
Organization
Contact information
Practice address
250 MAPLE PLACE, KEYPORT, NJ 07735-1144
(732) 264-8900
(732) 264-0156
Mailing address
250 MAPLE PLACE, KEYPORT, NJ 07735-1144
(732) 264-8900
(732) 264-0156
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
12/06/2006
Last updated
08/22/2020
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