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Individual

DR. PATRICIA MARY TALERICO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
1300 HWY 35, MONMOUTH EXECUTIVE PLAZA III, SUITE 101, OCEAN, NJ 07712-3537
(732) 531-0999
(732) 531-5582
Mailing address
1300 HWY 35, MONMOUTH EXECUTIVE PLAZA III, SUITE 101, OCEAN, NJ 07712-3537
(732) 531-0999
(732) 531-5582

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC03347
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
052229700
AMERIHEALTH
NJ
01
21258830443
BEECH STREET
NJ
01
551131
AETNA
NJ
01
929045
UNITED HEALTHCARE
NJ
01
NJ0334
LANDMARK
NJ
01
P635570
OXFORD
NJ
Enumeration date
11/30/2005
Last updated
10/14/2010
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