Organization
EXECUTIVE SPINAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER WALSH D.C. (MEMBER)
(973) 477-3470
Entity
Organization
Contact information
Practice address
36 DOUGLAS DR, TOWACO, NJ 07082-1437
(973) 477-3470
(973) 616-2921
Mailing address
36 DOUGLAS DR, TOWACO, NJ 07082-1437
(973) 477-3470
(973) 616-2921
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00640400
NJ
Other
Enumeration date
05/08/2007
Last updated
11/06/2017
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