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NPI Code Detail

MEDICARE: DR. JOHN JOSEPH MAHER D.C.

MEDICARE:  DR. JOHN JOSEPH MAHER  D.C.
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
1111N00000XChiropractorDC007401LPA

General Provider Information

NPI Number : 1194785675
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN JOSEPH MAHER D.C.
Provider Business Mailing Address
First Line : 407 DORCHESTER DR
Second Line :
City : DELRAN
State : NJ
Zip : 08075-1369
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2612 RHAWN ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19152-3415
Country : US
Telephone Number : 215-338-8555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2006
Last Update Date : 07/08/2007

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Directions to “ DR. JOHN JOSEPH MAHER D.C.” Practice Location

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