NPI | 1629618020 |
---|---|
Doing Business As | SHORE SPINE AND SPORTS CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | ERIC MUNDIE Owner/Provider 732-503-8332 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Enumeration Date | 2020-01-14 |
Last Update Date | 2021-08-13 |