Organization
HAINESPORT CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN E LONGO DC (PRESIDENT)
(609) 267-5550
Entity
Organization
Contact information
Practice address
2717 MARNE HIGHWAY, HAINESPORT, NJ 08036
(609) 267-5550
(609) 267-3535
Mailing address
2717 MARNE HIGHWAY, HAINESPORT, NJ 08036
(609) 267-5550
(609) 267-3535
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00132300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0037664
AETNA
NJ
01
—
0091517000
BLUE SHIELD
NJ
Enumeration date
04/05/2006
Last updated
04/25/2008
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