Organization
BRICK PAIN RELIEF AND WELLNESS, INST.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM WALSH D.C. (CHIROPRACTOR)
(732) 899-5400
Entity
Organization
Contact information
Practice address
2095 ROUTE 88, BRICK, NJ 08724-3265
(732) 899-5400
(732) 899-9288
Mailing address
2095 ROUTE 88, BRICK, NJ 08724-3265
(732) 899-5400
(732) 899-9288
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC2602
NJ
208D00000X
General Practice Physician
MB53521
NJ
225100000X
Physical Therapist
QA01049100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6049930001
MEDICARE DME#
NJ
Enumeration date
12/14/2006
Last updated
06/25/2008
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