Organization
EAST COAST CHIROPRACTIC AND REHAB CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TISHA A COZART D.C. (OWNER)
(609) 404-7797
Entity
Organization
Contact information
Practice address
314 CHRIS GAUPP DR, SUITE 201, GALLOWAY, NJ 08205-4464
(609) 404-7797
(609) 404-7790
Mailing address
126 WEDGEWOOD DR, EGG HARBOR TOWNSHIP, NJ 08234-5266
(609) 404-7797
(609) 404-7790
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00688400
NJ
Other
Enumeration date
08/30/2012
Last updated
09/27/2013
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