Patch Chiropractic PA

Chiropractor · Mount Laurel, NJ

Organization Active NPI

NPI number 1417328295

Practice location

701 E Gate Dr
Suite 304
Mount Laurel, NJ 08054-3838
Phone
(856) 677-4000
Fax
(856) 234-3014

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NPI record

NPI
1417328295
Entity type
Organization (Type 2)
Enumeration date
October 19, 2015
Last updated
October 19, 2015
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 38MC00726900 NJ

Mailing address

605 Glen Ave
Moorestown, NJ 08057-1125
Phone
(856) 335-5060
Fax
(856) 793-9392

Authorized official

Name
Mary Duffin
Title
Credentialing Specialist
Phone
(856) 677-4000

About Patch Chiropractic PA

Patch Chiropractic PA is a healthcare organization registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 701 E Gate Dr, Suite 304, Mount Laurel, NJ 08054-3838. The NPI number 1417328295 was assigned on October 19, 2015 and the record was last updated on October 19, 2015.

Patch Chiropractic PA lists a license in the registry: #38MC00726900 (NJ) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Mary Duffin, Credentialing Specialist.

Frequently asked questions

What is the NPI number of Patch Chiropractic PA?

The NPI number is 1417328295.

What is the phone number of Patch Chiropractic PA?

The phone number listed for the practice location is (856) 677-4000.

Where is Patch Chiropractic PA located?

701 E Gate Dr, Suite 304, Mount Laurel, NJ 08054-3838.

What is the taxonomy code for Patch Chiropractic PA?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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