Organization
AMBROSE S PERDUK JR DC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMBROSE S PERDUK JR. DC (PRESIDENT)
(330) 343-2621
Entity
Organization
Contact information
Practice address
125 W 2ND STREET, DOVER, OH 44622-2931
(330) 343-2621
(330) 343-6006
Mailing address
125 W 2ND ST, DOVER, OH 44622-2931
(330) 343-2621
(330) 343-6006
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1155
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0707668
—
OH
Enumeration date
05/10/2007
Last updated
06/17/2010
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