Organization
SHORE REHAB & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES HERZOG DC (PRESIDENT)
(732) 406-5030
Entity
Organization
Contact information
Practice address
883 POOLE AVE, SUITE 1, HAZLET, NJ 07730-2040
(732) 431-1126
Mailing address
883 POOLE AVE, SUITE 1, HAZLET, NJ 07730-2040
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
11/12/2014
Last updated
10/05/2016
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