Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 38MC00498400 | NJ |
NPI | 1003883091 |
---|---|
Provider Name | Dr. Madeline Healy |
First Address | Colts Neck, NJ 07722 |
Second Address | Colts Neck, NJ 07722 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2006 |
Last Update Date | 13/05/2015 |