Individual
DANIEL J. DE JIANNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1800 LANES MILL RD, BRICK, NJ 08724-5204
(732) 458-0800
(732) 458-5809
Mailing address
1800 LANES MILL RD, BRICK, NJ 08724-5204
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00195700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1142909
—
NJ
Enumeration date
11/08/2006
Last updated
09/28/2007
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