Search › New Jersey › 111NS0005X
Michael Distler, DC, CCSP
NPI 1609172832 · on the registry since 2011
Practice
- Address
- 56 N Haddon Ave Lowr Level
Haddonfield, NJ 08033 - Phone
- (856) 240-7529
- Organisation at this address
- South Jersey Spine & Sport Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 111NS0005X
111NS0005X
- Also registered as
- 111NI0900X
- Licence states on file
- NJ, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey