Individual
DR. PHILIP C MESTHOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
116 WEST BROAD STREET, BURLINGTON, NJ 08016
(609) 386-0997
Mailing address
116 WEST BROAD STREET, BURLINGTON, NJ 08016
(609) 386-0997
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00303600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000450919
HIGHMARK BLUE SHIELD
—
01
—
0103451000
AMERIHEALTH
—
Enumeration date
03/23/2007
Last updated
11/16/2016
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