Individual
ELLEN T DEMOULIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
52 TUCKAHOE RD, MARMORA, NJ 08223
(609) 390-8490
(609) 845-1850
Mailing address
52 TUCKAHOE RD, MARMORA, NJ 08223
(609) 390-8490
(609) 845-1850
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
38MC00336900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038977RSV
MEDICARE PTAN
—
Enumeration date
10/12/2006
Last updated
10/06/2014
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