Organization
DYNAMIC CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON CERUTTI DC (DC OWNER)
(856) 782-2077
Entity
Organization
Contact information
Practice address
817 ERIAL NEW BROOKLYN ROAD, SICKLERVILLE, NJ 08081-3278
(856) 782-2077
(856) 782-2078
Mailing address
817 ERIAL NEW BROOKLYN ROAD, SICKLERVILLE, NJ 08081-3278
(856) 782-2077
(856) 782-2078
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0189715000
AMERIHEALTH HMO
—
01
—
802949
AMERIHEALTH PPO
—
Enumeration date
06/23/2006
Last updated
08/22/2020
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