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NPI Code Detail

MEDICARE: DR. JOSEPH YOUNG D.C

MEDICARE: DR. JOSEPH YOUNG 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
1111N00000XChiropractor38MC00594600NJ

General Provider Information

NPI Number : 1548240047
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH YOUNG D.C
Provider Business Mailing Address
First Line : 7 NEWARK POMPTON TPKE
Second Line :
City : RIVERDALE
State : NJ
Zip : 07457-1142
Country : US
Telephone Number : 973-831-1100
Fax Number : 973-831-6622
Provider Business Practice Location Address
First Line : 7 NEWARK POMPTON TPKE
Second Line :
City : RIVERDALE
State : NJ
Zip : 07457-1142
Country : US
Telephone Number : 973-831-1100
Fax Number : 973-831-6622
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2006
Last Update Date : 01/03/2008

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