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Charles M Dietrich, DC
Chiropractor in Keyport, New Jersey
NPI 1104985019

Charles M Dietrich is a Chiropractor based in Keyport, NJ. Charles M Dietrich practices in Keyport, NJ and has the professional credentials of DC. The NPI Number for Charles M Dietrich is 1104985019 and holds a License No. 38MC00133800 (New Jersey).

The current practice location address for Charles M Dietrich is 250 Maple Place, Keyport, NJ and can be reached out via phone at 732-264-8900 and via fax at 732-264-0156.

Location: 250 Maple Place, Keyport, NJ, 07735-1144
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104985019
Provider Name
Charles M Dietrich
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
250 Maple Place, Keyport, NJ, 07735-1144
Phone Number
732-264-8900
Fax Number
732-264-0156
Provider Enumeration Date
12/06/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
250 Maple Place
City
Keyport
State
New Jersey
Zip
07735-1144
Phone Number
732-264-8900
Fax Number
732-264-0156
person
Provider Business Mailing Address Details
Address
250 Maple Place
City
Keyport
State
New Jersey
Zip
07735-1144
Phone Number
732-264-8900
Fax Number
732-264-0156
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
38MC00133800 (New Jersey)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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