Individual
GREGORY PAUL MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
561 RIVER RD, FAIR HAVEN, NJ 07704
(732) 741-8668
(732) 842-2128
Mailing address
561 RIVER RD, FAIR HAVEN, NJ 07704
(732) 741-8668
(732) 842-2128
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MCO3684
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0042765
—
NJ
Enumeration date
04/04/2007
Last updated
07/08/2007
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