Organization
QUANTUM WELLNESS AND REHABILITATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN DUNCAN MEDICAL BILLER (DIRECTOR)
(601) 878-6945
Entity
Organization
Contact information
Practice address
230 W JERSEY ST, STE. 303, ELIZABETH, NJ 07202-1364
(908) 289-8556
Mailing address
230 W JERSEY ST, STE. 303, ELIZABETH, NJ 07202-1364
(908) 289-8556
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
25MZ00020100
NJ
111N00000X
Chiropractor
Primary
38MC00504900
NJ
111NR0400X
Rehabilitation Chiropractor
MC04730
NJ
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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