Individual
DR. JAMES PROODIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
10 W END CT, LONG BRANCH, NJ 07740-5172
(732) 222-2219
(732) 229-8863
Mailing address
10 W END CT, LONG BRANCH, NJ 07740-5172
(732) 222-2219
(732) 229-8863
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00452500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
383662747
TAX ID #
NJ
Enumeration date
09/02/2005
Last updated
07/14/2009
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