Individual
GARY TANCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1104 ARNOLD AVE, POINT PLEASANT BORO, NJ 08742-2311
(732) 714-0070
(731) 714-0188
Mailing address
41 WOODHULL ST, RED BANK, NJ 07701-5662
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00755300
NJ
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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