Individual
JOHN C KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M., D.C.
Contact information
Practice address
3000 ESSEX RD, TINTON FALLS, NJ 07753-2400
(732) 643-2070
(732) 643-2015
Mailing address
5730 EXECUTIVE DR STE 230, CATONSVILLE, MD 21228-1762
(732) 643-2070
(732) 643-2015
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
38MC00669600
NJ
213E00000X
Podiatrist
003454
OH
213E00000X
Podiatrist
Primary
25MD00294000
NJ
213E00000X
Podiatrist
N006213
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02937497
—
NY
01
—
P010306213
BLUE CROSS/BLUE SHIELD
NY
Enumeration date
10/09/2007
Last updated
08/30/2023
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