Organization
SOURCE WELLNESS CENTER OF METUCHEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE BILQUIST D.C. (OWNER)
(732) 978-0951
Entity
Organization
Contact information
Practice address
173 ESSEX AVE STE 103, METUCHEN, NJ 08840-2281
(732) 978-0951
Mailing address
1204 LAUREL AVE, SEA GIRT, NJ 08750-2410
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/01/2022
Last updated
05/01/2022
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