Organization
ACTIVE HEALING CENTER FOR WELLNESS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS WILLIAM GUSTAFSON D.C. (OWNER)
(732) 683-0200
Entity
Organization
Contact information
Practice address
81 HWY 34 S, COLTS NECK, NJ 07722-1783
(732) 683-0200
(732) 683-1004
Mailing address
81 HWY 34 S, COLTS NECK, NJ 07722-1783
(732) 683-0200
(732) 683-1004
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00554200
NJ
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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