Individual
TIMOTHY GRAYSON ERNST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
135 MAIN ST STE 101, MADISON, NJ 07940-2165
(910) 330-4677
Mailing address
135 MAIN ST STE 101, MADISON, NJ 07940-2165
(910) 330-4677
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00754900
NJ
Other
Enumeration date
01/21/2019
Last updated
01/21/2019
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