Organization
REALM CHIROPRACTIC, LLC
Active
Parent organization
REALM CHIROPRACTIC, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
REALM CHIROPRACTIC, LLC
Authorized official
DR. KRISTIN D. DEEUGENIO D.C. (OWNER/CHIROPRACTOR)
(856) 305-8611
Entity
Organization
Contact information
Practice address
73 MONTAGE MOUNTAIN ROAD, SUITE 3, MOOSIC, PA 18507
(570) 800-7991
(570) 909-9285
Mailing address
36 BUCKY RUN LANE, THORNHURST, PA 18424
(856) 305-8611
(856) 854-4504
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00687100
NJ
Other
Enumeration date
10/09/2012
Last updated
09/01/2023
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