Individual
DR. MICHAEL PATRICK CORNELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5635 WESTFIELD AVE, SUITE 4, PENNSAUKEN, NJ 08110-1853
(856) 662-8866
(856) 662-8855
Mailing address
22 FITHIAN AVE, PENNSAUKEN, NJ 08109-2604
(856) 662-8866
(856) 662-8855
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00350700
NJ
Other
Enumeration date
01/13/2007
Last updated
07/08/2007
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