Individual
DR. BRETT KEVIN HODSHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
33 ELCOCK AVE, BOONTON, NJ 07005-8806
(973) 402-1331
Mailing address
33 ELCOCK AVE, BOONTON, NJ 07005-8806
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
38MC00755000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38MC00755000
—
NJ
Enumeration date
05/07/2019
Last updated
05/07/2019
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