Organization
COASTAL CHIROPRACTIC AND ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED CHANG DC, L. AC (OWNER)
(609) 748-8779
Entity
Organization
Contact information
Practice address
106 E JIMMIE LEEDS RD, GALLOWAY, NJ 08205-9508
(609) 748-8779
(609) 652-6687
Mailing address
106 E JIMMIE LEEDS RD, GALLOWAY, NJ 08205-9508
(609) 748-8779
(609) 652-6687
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00600700
NJ
171100000X
Acupuncturist
25MZ00032700
NJ
Other
Enumeration date
12/18/2015
Last updated
06/15/2021
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