Active Choices Chiropractic and Wellness LLC
Organization Active NPI Sports Physician Chiropractor · East Brunswick, NJ
NPI 1215167481 · NPPES record last updated Nov 3, 2016
Key facts
- NPI
- 1215167481
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Sports Physician Chiropractor 111NS0005X
- Legal business name
- ACTIVE CHOICES CHIROPRACTIC AND WELLNESS LLC
- Practice address
- 18 Tutor PL
East Brunswick, NJ 08816-3658 - Phone
- (732) 570-5675
- NPI assigned
- Jul 21, 2009
- Organization subpart
- No
Authorized official
- Name
- Glenn Lederman
- Title
- Chiropractor
- Phone
- (732) 570-5675
Practitioners 1
-
Glenn David Lederman, D.C.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor |
111NS0005X | Yes |
Addresses
Primary practice location
18 Tutor PL
East Brunswick, NJ 08816-3658
Mailing address
PO Box 6262
East Brunswick, NJ 08816-6262
Phone (732) 570-5675
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All providers in East Brunswick, NJ · Sports Physician Chiropractor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.