Individual
DR. BRIAN M SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
260 GODWIN AVE, SUITE 1, WYCKOFF, NJ 07481-5200
(201) 891-1155
(201) 891-5522
Mailing address
260 GODWIN AVE, SUITE 1, WYCKOFF, NJ 07481-5200
(201) 891-1155
(201) 891-5522
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00412700
NJ
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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