Organization
PRO HEALTH SPORTS AND WELLNESS CENTER CHESTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK LAWLOR D.C. (AUTHORIZED OFFICIAL)
(973) 627-7888
Entity
Organization
Contact information
Practice address
169 ROUTE 206, CHESTER, NJ 07930
(973) 627-7888
(973) 627-7040
Mailing address
161 E MAIN ST, DENVILLE, NJ 07834-2647
(973) 627-7888
(973) 627-7040
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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