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Organization

GALL & CASTERLINE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEVIN A GALL D.C. (OWNER)
(908) 510-8051
Entity
Organization

Contact information

Practice address
309 ROCK AVE, GREEN BROOK, NJ 08812-2616
(732) 968-3900
(732) 968-3944
Mailing address
PO BOX 948, GREEN BROOK, NJ 08812-0948
(732) 968-3900
(732) 968-3944

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC03899
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0454734000
AMERIHEALTH ID
NJ
01
541474
AETNA ID #
NJ
01
P406638
OXFORD ID
NJ
Enumeration date
08/18/2006
Last updated
04/18/2008
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