Individual
DR. THEODORE M KOZIOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
387 BRICK BLVD, BRICK, NJ 08723-6010
(732) 477-6767
(732) 477-9333
Mailing address
387 BRICK BLVD, BRICK, NJ 08723-6010
(732) 477-6767
(732) 477-9333
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00329800
NJ
Other
Enumeration date
04/02/2007
Last updated
09/16/2013
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