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Organization

KAISER CHIROPRACTIC OFFICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRENT AARON KAISER D.C. (CHIROPRACTOR)
(732) 758-8200
Entity
Organization

Contact information

Practice address
188 E BERGEN PL, SUITE 202, RED BANK, NJ 07701-2161
(732) 758-8200
(732) 758-8250
Mailing address
188 E BERGEN PL, SUITE 202, RED BANK, NJ 07701-2161
(732) 758-8200
(732) 758-8250

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00621500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
086605
MEDICARE PTAN
Enumeration date
10/10/2008
Last updated
10/10/2008
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