MEDICARE: WASHINGTON WELLNESS CENTER PC

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
1	225100000X	Physical Therapist	QA04979	NJ
2	171100000X	Acupuncturist	25MZ00027500	NJ
3	111N00000X	Chiropractor	38MC00334600	NJ

General Provider Information

NPI Number	:	1972650828
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WASHINGTON WELLNESS CENTER PC

Provider Business Mailing Address
First Line	:	1005 WASHINGTON BLVD
Second Line	:
City	:	ROBBINSVILLE
State	:	NJ
Zip	:	08691-3119
Country	:	US
Telephone Number	:	609-426-1700
Fax Number	:	609-426-0099

Provider Business Practice Location Address
First Line	:	1005 WASHINGTON BLVD
Second Line	:
City	:	ROBBINSVILLE
State	:	NJ
Zip	:	08691-3119
Country	:	US
Telephone Number	:	609-426-1700
Fax Number	:	609-426-0099

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DAVID JOSEPH SWANEKAMP
Credential	:	DC
Telephone Number	:	609-426-1700

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	03/07/2014

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Directions to “WASHINGTON WELLNESS CENTER PC ” Practice Location

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