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Organization

SHORE CHRIPRACTIC CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID L HADLEY D. C. (CHIROPRACTOR)
(609) 646-0578
Entity
Organization

Contact information

Practice address
2400 SHEPHERD CIR, NORTHFIELD, NJ 08225-1419
(609) 646-0578
(609) 646-9289
Mailing address
2400 SHEPHERD CIR, NORTHFIELD, NJ 08225-1419
(609) 646-0578
(609) 646-9289

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00243800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0091581000
AMERIHEALTH PIN
NJ
01
194544
BCBS PIN
NJ
Enumeration date
10/16/2007
Last updated
10/16/2007
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