Organization
ACTIVE CHOICES CHIROPRACTIC AND WELLNESS LLC
Active
Organization
ACTIVE CHOICES CHIROPRACTIC AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN LEDERMAN (CHIROPRACTOR)
(732) 570-5675
Entity
Organization
Contact information
Practice address
18 TUTOR PL, EAST BRUNSWICK, NJ 08816-3658
(732) 570-5675
Mailing address
PO BOX 6262, EAST BRUNSWICK, NJ 08816-6262
(732) 570-5675
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
—
—
Other
Enumeration date
07/21/2009
Last updated
11/03/2016
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