Organization
COMMUNITY CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW HERMAN (OWNER)
(856) 742-0584
Entity
Organization
Contact information
Practice address
357 GREENWOOD AVE, GLOUCESTER CITY, NJ 08030-1604
(856) 742-0584
Mailing address
357 GREENWOOD AVE, P.O. BOX 559, GLOUCESTER CITY, NJ 08030-1604
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2144
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609090216
NPI
NJ
05
—
3042308
—
NJ
Enumeration date
10/10/2007
Last updated
06/15/2009
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