Organization
SOUTH JERSEY HEALTH & WELLNESS CENTER
Active
Organization
SOUTH JERSEY HEALTH & WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL EDENZON D.C. (CHIROPRACTOR)
(856) 761-8100
Entity
Organization
Contact information
Practice address
1919 GREENTREE RD, SUITE A, CHERRY HILL, NJ 08003-1115
(856) 761-8100
(856) 761-8107
Mailing address
1919 GREENTREE RD, CHERRY HILL, NJ 08003-1115
(856) 761-8100
(856) 761-8107
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
38MC00534300
NJ
111NN1001X
Nutrition Chiropractor
Primary
DC-007149-L
PA
Other
Enumeration date
05/14/2007
Last updated
12/10/2009
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