| Organization Name: | CHIROPRACTIC CARE OF BEDMINSTER, P.C. |
| NPI Number: | 1851661698 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NICK MAVROSTOMOS (DOCTOR/OWNER) |
| Mailing Address: | 1 Robertson Drive Ste 21 Bedminster |
| State: | NJ US |
| Postal Code: | 07921 |
| Phone Number: | 9082342317 |
| Fax Number: | 9082340975 |
| NPI Enumeration Date: | 01/11/2012 |
| NPI Last Update Date: | 01/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | 38MC00525500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |