Bayshore Chiropractic Center PA
NPI #1205995115 in Keyport, New Jersey
Provider Information
- NPI Number
- 1205995115
- Entity Type
- Organization
- Organization Name
- Bayshore Chiropractic Center PA
- Primary Specialty
- Chiropractor
- Enumeration Date
- Dec 6, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 250 MAPLE PLACE
- City
- Keyport
- State
- New Jersey
- ZIP Code
- 07735-1144
- Phone
- (732) 264-8900
Authorized Official
- Name
- CHARLES M DIETRICH, DC
- Title
- PRESIDENT
- Phone
- (732) 264-8900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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