Individual
DR. DOUGLAS MAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
342 PARSIPPANY RD, PARSIPPANY, NJ 07054-1275
(973) 428-8264
Mailing address
29 TIMBER TRL, BOONTON, NJ 07005-9553
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00205300
NJ
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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