Doctor Name: | DR. THOMAS ANTHONY DEBARI |
NPI Number: | 1508924382 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | MC02419 |
Business Practice Address: | 253 Main St South River, NJ - 088821564 |
Business Phone Number: | 7323908642 |
Business Fax Number: | 7323900088 |
Mailing Address: | 6650 Browning Road, Suite U12 PENNSAUKEN |
State: | NJ |
Postal Code: | 081091479 |
Phone Number: | 8566634414 |
Fax Number: | 8564869064 |
NPI Enumeration Date: | 12/05/2006 |
NPI Last Update Date: | 03/25/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111NT0100X |
License Number: | MC02419 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | Thermography |
Taxonomy Definition: |