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Individual

KEVIN C JULIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
318 SIP AVE, JERSEY CITY, NJ 07306-6511
(201) 333-7395
(201) 333-6746
Mailing address
318 SIP AVE, JERSEY CITY, NJ 07306-6511
(201) 333-7395
(201) 333-6746

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
38MC00282600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1044231
HORIZON MERCY
NJ
01
465800
AETNA
NJ
01
P643902
OXFORD HEALTHCARE
NJ
Enumeration date
05/08/2006
Last updated
07/08/2007
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