Organization
CAMKALLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER N MATTIELLO EGAN D.C. (PRESIDENT/OWNER)
(973) 714-1846
Entity
Organization
Contact information
Practice address
9 MASON AVE, LINCOLN PARK, NJ 07035-1623
(973) 686-1982
Mailing address
9 MASON AVE, LINCOLN PARK, NJ 07035-1623
(973) 686-1982
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00469300
NJ
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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