Provider Demographics
NPI:1023179405
Name:BRECKER, JAY E (DC)
Entity Type:Individual
Prefix:DR
First Name:JAY
Middle Name:E
Last Name:BRECKER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2 MOUNT PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07801-3748
Mailing Address - Country:US
Mailing Address - Phone:973-361-4416
Mailing Address - Fax:973-361-4481
Practice Address - Street 1:2 MOUNT PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NJ
Practice Address - Zip Code:07801-3748
Practice Address - Country:US
Practice Address - Phone:973-361-4416
Practice Address - Fax:973-361-4481
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ3341111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation