Individual
CARLEEN A THUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
88 ORCHARD RD STE 4, SKILLMAN, NJ 08558-2642
(609) 250-3188
(000) 000-0000
Mailing address
88 ORCHARD RD., STE 4, SKILLMAN, NJ 08558
(609) 250-3188
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00561700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040857TQQ
RENDERING PROVIDER #
NJ
Enumeration date
12/13/2005
Last updated
07/21/2022
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