Organization
DEPOT PARK CHIROPRACTIC CENTER P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVAN B KOSIN DC (PRESIDENT)
(908) 753-5454
Entity
Organization
Contact information
Practice address
311 PARK AVE, PLAINFIELD, NJ 07060-4229
(908) 753-5454
(908) 753-6370
Mailing address
311 PARK AVE, PLAINFIELD, NJ 07060-4229
(908) 753-5454
(908) 753-6370
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC03912
NJ
Other
Enumeration date
12/06/2006
Last updated
06/12/2008
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