Organization
GLEN OAKS HEALTH AND SPINE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK S KEMENOSH DC (CHIROPRACTOR)
(856) 228-3100
Entity
Organization
Contact information
Practice address
3 JEFFERSON DR, LAUREL SPRINGS, NJ 08021-2719
(856) 228-3100
(856) 228-3108
Mailing address
3 JEFFERSON DR, LAUREL SPRINGS, NJ 08021-2719
(856) 228-3100
(856) 228-3108
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00203400
NJ
Other
Enumeration date
04/15/2010
Last updated
08/02/2010
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