Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 38MC00557000 | NJ |
NPI | 1063556199 |
---|---|
Provider Name | Dr. Anthony Scott Garrow |
First Address | Allenwood, NJ 08720 |
Second Address | Sea Girt, NJ 08750 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2007 |
Last Update Date | 08/07/2007 |