Organization
SHADE CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN SHADE D.C. (OWNER)
(732) 751-9500
Entity
Organization
Contact information
Practice address
43 MAIN ST, FARMINGDALE, NJ 07727
(732) 751-9500
(732) 751-9516
Mailing address
43 MAIN ST, FARMINGDALE, NJ 07727-1340
(732) 751-9500
(732) 751-9516
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00554600
NJ
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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