Most Relevant Information
Provider Data
| NPI Number: | 1003013897 |
| Provider Name: | JODI NICHOLE DINNERMAN DC |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | MC05797 |
Most Important Dates
| Enumeration Date: | 06/27/2007 |
| Last Updated: | 01/03/2014 |
Provider Practice Location
16 LEIGH ST
STE 1C
CLINTON
NJ
088091412
Practice Location Phone/Fax
| Phone: | 9082381081 |
| Fax: |
Provider Mailing Location
23 NORTHWOOD DR
PITTSTOWN
NJ
088675129
Provider Mailing Phone/Fax
| Phone: | 9087359355 |
| Fax: |