Provider Demographics
NPI:1841322427
Name:PLADDYS, LAUREEN M (DC)
Entity type:Individual
Prefix:DR
First Name:LAUREEN
Middle Name:M
Last Name:PLADDYS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 E MOUNT VERNON AVE
Mailing Address - Street 2:
Mailing Address - City:HADDONFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08033-2325
Mailing Address - Country:US
Mailing Address - Phone:609-381-4262
Mailing Address - Fax:856-795-8830
Practice Address - Street 1:8 E MOUNT VERNON AVE
Practice Address - Street 2:
Practice Address - City:HADDONFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08033-2325
Practice Address - Country:US
Practice Address - Phone:609-381-4262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-10
Last Update Date:2020-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC005217111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ022728Medicare ID - Type Unspecified