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Individual

DR. DAVID E KOENTOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C., DACNB

Contact information

Practice address
2399 ROUTE 34 BLDG A, SUITE 5, MANASQUAN, NJ 08736-1500
(732) 528-5533
(732) 528-0360
Mailing address
404 LIPPINCOTT DR, MARLTON, NJ 08053-4112
(856) 782-3300
(856) 504-8029

Taxonomy

Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
04751
SC
111NN0400X
Neurology Chiropractor
38MC00715200
NJ
111NN0400X
Neurology Chiropractor
CHIR009216
GA

Other

Enumeration date
06/05/2015
Last updated
03/02/2022
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