Individual
STEPHEN MICHAEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
851 ORCHARD RD, RED BANK, NJ 07701-5317
(732) 889-6327
Mailing address
851 ORCHARD RD, RED BANK, NJ 07701-5317
(732) 889-6327
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00168700
NJ
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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