Individual
DR. DAVID ROSS TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
212 MAIN ST, LINCOLN PARK, NJ 07035-3700
(973) 268-7723
(973) 628-7742
Mailing address
17 SUNRISE WAY, TOWACO, NJ 07082-1547
(973) 334-2664
(973) 682-7742
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MCC 00228900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22 24230010
HORIZON BC BS
NJ
Enumeration date
04/06/2007
Last updated
07/08/2007
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