Organization
PENNSAUKEN SPINE AND REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMINIC MARIANI D.C. (OWNER)
(856) 488-0222
Entity
Organization
Contact information
Practice address
4307 WESTFIELD AVE, PENNSAUKEN, NJ 08110-3023
(856) 488-0222
(856) 488-0233
Mailing address
4307 WESTFIELD AVE, PENNSAUKEN, NJ 08110-3023
(856) 488-0222
(856) 488-0233
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
38MC00319800
NJ
111NR0400X
Rehabilitation Chiropractor
38MC00349500
NJ
111NR0400X
Rehabilitation Chiropractor
Primary
38MC00387000
NJ
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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