Organization
HAVERON TOTAL HEALTH, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS M. HAVERON DC (OWNER)
(908) 629-0779
Entity
Organization
Contact information
Practice address
909 ELIZABETH AVE, ELIZABETH, NJ 07201-2710
(908) 629-0779
(908) 629-0804
Mailing address
909 ELIZABETH AVE, ELIZABETH, NJ 07201-2710
(908) 629-0779
(908) 629-0804
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00344800
NJ
225100000X
Physical Therapist
40QA01050700
NJ
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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