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NPI Code Detail

MEDICARE: DR. JONATHAN M PROBE D.C.

MEDICARE:  DR. JONATHAN M PROBE  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
1111N00000XChiropractor38MC00708200NJ

General Provider Information

NPI Number : 1932545373
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JONATHAN M PROBE D.C.
Provider Business Mailing Address
First Line : 740 MANTUA PIKE
Second Line :
City : WOODBURY HEIGHTS
State : NJ
Zip : 08097-1149
Country : US
Telephone Number : 856-845-0360
Fax Number : 856-845-1881
Provider Business Practice Location Address
First Line : 740 MANTUA PIKE
Second Line :
City : WOODBURY HEIGHTS
State : NJ
Zip : 08097-1149
Country : US
Telephone Number : 856-845-0360
Fax Number : 856-845-1881
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2013
Last Update Date : 05/13/2013

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Directions to “ DR. JONATHAN M PROBE D.C.” Practice Location

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