Individual
THOMAS DOMINICK NETTIS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1056 BROADWAY, WEST LONG BRANCH, NJ 07764-1308
(732) 229-2000
Mailing address
41 FREDRIC DR, OCEAN, NJ 07712-7235
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC04515
NJ
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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