Organization
DECOTIIS CHIROPRACTIC WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN R DE COTIIS D.C. (CEO/ OWNER)
(856) 218-1330
Entity
Organization
Contact information
Practice address
30 W HOLLY AVE, PITMAN, NJ 08071-1405
(856) 218-1330
(856) 218-1332
Mailing address
30 W HOLLY AVE, PITMAN, NJ 08071-1405
(856) 218-1330
(856) 218-1332
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00636000
NJ
Other
Enumeration date
06/14/2010
Last updated
06/14/2010
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