Organization
MONMOUTH ADVANCED MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN MARC ZODKOY D.C. (OWNER)
(732) 308-0099
Entity
Organization
Contact information
Practice address
503 STILLWELLS CORNER RD, FREEHOLD, NJ 07728
(732) 308-0099
(732) 308-0347
Mailing address
503 STILLWELLS CORNER RD, FREEHOLD, NJ 07728
(732) 308-0099
(732) 308-0347
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
38MC00395200
NJ
225100000X
Physical Therapist
40QA00271700
NJ
Other
Enumeration date
01/17/2007
Last updated
09/24/2007
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