| NPI | 1881321560 |
|---|---|
| Doing Business As | MAIN STREET CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | TARAK NAVIN PATEL Owner/Provider 856-904-3061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2022-08-03 |