| Ideal Spine And Joint Chiropractic Pc | |
|
1930 Marlton Pike E Ste F33, Cherry Hill, NJ 08003-2150 | |
| (856) 234-1200 | |
| (856) 234-1206 |
| Full Name | Ideal Spine And Joint Chiropractic Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1930 Marlton Pike E Ste F33, Cherry Hill, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578317103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Yoon Sang Song |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1952868804 PECOS PAC ID: 5496195976 Enrollment ID: I20240501001431 |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Spine And Joint Chiropractic Pc 1930 Marlton Pike E Ste F33, Cherry Hill, NJ 08003-2150 Ph: (856) 234-1200 | Ideal Spine And Joint Chiropractic Pc 1930 Marlton Pike E Ste F33, Cherry Hill, NJ 08003-2150 Ph: (856) 234-1200 |
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