Individual
DR. LOUIS EDWARD PERSICHETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
106 CENTRE BLVD STE B, MARLTON, NJ 08053-4131
(856) 596-8484
(856) 596-7146
Mailing address
106 CENTRE BLVD STE B, MARLTON, NJ 08053-4131
(856) 596-8484
(856) 596-7146
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00269100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6284906
—
NJ
Enumeration date
09/20/2006
Last updated
11/08/2010
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