Individual
MS. VICKI L MADONICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
448 LAKEHURST RD, TOMS RIVER, NJ 08755-6344
(732) 281-1112
Mailing address
37 3RD AVE, SEASIDE PARK, NJ 08752-1712
(732) 281-1112
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00047500
NJ
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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