Organization
MIDWAY CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACY SCOTT COHEN D.C. (PRESIDENT)
(302) 454-1200
Entity
Organization
Contact information
Practice address
18585 COASTAL HIGHWAY, UNIT 26, REHOBOTH BEACH, DE 19971-9735
(302) 645-6681
(302) 645-6621
Mailing address
1536 CAPITOL TRL, NEWARK, DE 19711-5716
(302) 454-1200
(302) 454-1238
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2004200227
DE
Other
Enumeration date
08/15/2006
Last updated
02/26/2009
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