NPI 1003118456

South Shore Chiropractic LLC

Organisation Chiropractor Palermo, NJ

Practice location

Address: 1217 Route 9 Suite 101, Palermo, NJ 08230
Phone: (609) 390-8772
Fax: (609) 390-8699

Authorised official

Name: Gary R Mruz
Title: Owner Chiropractor
Phone: (609) 390-8772

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence MC03565 (NJ)

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Registry record

NPI: 1003118456
Entity type: Organization
NPI issued: 17 Nov 2010
Record last updated: 17 Nov 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.