Individual
MR. LOUIS D'AGOSTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
220 MONMOUTH RD, SUITE 1 RIGHT, OAKHURST, NJ 07755-1561
(732) 695-6200
(732) 695-6201
Mailing address
220 MONMOUTH RD, SUITE 1 RIGHT, OAKHURST, NJ 07755-1561
(732) 695-6200
(732) 695-6201
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00679100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38MC00679100
NJ STATE LICENSE
NJ
Enumeration date
12/28/2009
Last updated
12/28/2009
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