Provider Demographics
NPI:1821408006
Name:METZGER, DANA (DC, CACCP)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:
Last Name:METZGER
Suffix:
Gender:F
Credentials:DC, CACCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 E EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:HADDONFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08033-2300
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15 E EUCLID AVE
Practice Address - Street 2:
Practice Address - City:HADDONFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08033-2300
Practice Address - Country:US
Practice Address - Phone:856-524-7006
Practice Address - Fax:856-429-0649
Is Sole Proprietor?:No
Enumeration Date:2014-04-28
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010883111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor