Organization
CHIROMED-21PC
Active
Organization
CHIROMED-21PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK RICHARD GASPAROVIC JR. DC (OWNER)
(856) 718-9922
Entity
Organization
Contact information
Practice address
880 MONTUA PIKE, UNIT C, WOODBURY HEIGHTS, NJ 08097
(856) 718-9922
(856) 848-8208
Mailing address
P.O. BOX 5581, DEPTFORD, NJ 08096
(856) 718-9922
(856) 848-8208
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
38MC00444700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7077904
—
NJ
Enumeration date
06/08/2006
Last updated
10/13/2015
Update your record
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