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NPI Code Detail

MEDICARE: MR. JOSEPH E. HATRAK C.A., L.A.

MEDICARE:  MR. JOSEPH E. HATRAK  C.A., L.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor38MC00265600NJ

General Provider Information

NPI Number : 1093711434
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSEPH E. HATRAK C.A., L.A.
Provider Business Mailing Address
First Line : 30 JACKSON RD
Second Line : STE A1
City : MEDFORD
State : NJ
Zip : 08055-9279
Country : US
Telephone Number : 609-654-2420
Fax Number : 609-654-4261
Provider Business Practice Location Address
First Line : 30 JACKSON RD
Second Line : STE A1
City : MEDFORD
State : NJ
Zip : 08055-9279
Country : US
Telephone Number : 609-654-2420
Fax Number : 609-654-4261
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2005
Last Update Date : 11/07/2011

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Directions to “ MR. JOSEPH E. HATRAK C.A., L.A.” Practice Location

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