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Organization

COSTA CHIROPRACTIC CENTER, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PHILIP COSTA D.C. (PRESIDENT)
(732) 968-1111
Entity
Organization

Contact information

Practice address
15 GREENBROOK RD, GREEN BROOK, NJ 08812-2629
(732) 968-1111
Mailing address
15 GREENBROOK RD, P.O. BOX 972, GREEN BROOK, NJ 08812-2629
(732) 968-1111

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
38MC00584900
NJ

Other

Enumeration date
11/14/2007
Last updated
11/14/2007
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