Individual
DR. MICHAEL JARED EDENZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1010 CONCORD AVENUE, STE 101, WILMINGTON, DE 19802-3366
(302) 777-5551
(302) 777-5567
Mailing address
15 BURNT MILL ROAD, CHERRY HILL, NJ 08003-3947
(856) 422-9234
(856) 422-9233
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
111NN1001X
DE
111NN1001X
Nutrition Chiropractor
DC-007149-L
PA
Other
Enumeration date
10/25/2006
Last updated
06/14/2022
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