Individual
KEITH MAZANOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
285 PARKER ROAD, EATONTOWN, NJ 07724
(732) 229-3344
(732) 728-0870
Mailing address
450 SHREWSBURY PLAZA, SUITE 291, SHREWSBURY, NJ 07702
(732) 229-3344
(732) 728-0870
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC02570
NJ
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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