Organization
GIBBSTOWN CHIROPRACTIC CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAISE KONRAD GLODOWSKI D.C. (OWNER)
(856) 423-3899
Entity
Organization
Contact information
Practice address
360 E BROAD ST, GIBBSTOWN, NJ 08027-1470
(856) 423-3899
(856) 423-5450
Mailing address
360 E BROAD ST, GIBBSTOWN, NJ 08027-1470
(856) 423-3899
(856) 423-5450
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MCO3280
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2096200
—
NJ
Enumeration date
10/05/2007
Last updated
12/22/2011
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