Provider Demographics
NPI:1568842342
Name:KOENTOP, DAVID E (DC, DACNB)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:E
Last Name:KOENTOP
Suffix:
Gender:M
Credentials:DC, DACNB
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Mailing Address - Street 1:404 LIPPINCOTT DR
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4112
Mailing Address - Country:US
Mailing Address - Phone:856-782-3300
Mailing Address - Fax:856-504-8029
Practice Address - Street 1:2399 ROUTE 34 BLDG A
Practice Address - Street 2:SUITE 5
Practice Address - City:MANASQUAN
Practice Address - State:NJ
Practice Address - Zip Code:08736-1500
Practice Address - Country:US
Practice Address - Phone:732-528-5533
Practice Address - Fax:732-528-0360
Is Sole Proprietor?:No
Enumeration Date:2015-06-05
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GACHIR009216111NN0400X
SC04751111NI0013X
NJ38MC00715200111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner
No111NN0400XChiropractic ProvidersChiropractorNeurology