Provider Demographics
NPI:1033300546
Name:ALG ENTERPRISES LLC
Entity Type:Organization
Organization Name:ALG ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:GILLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-383-0700
Mailing Address - Street 1:1423 TILTON RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:NORTHFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08225-1865
Mailing Address - Country:US
Mailing Address - Phone:609-383-0700
Mailing Address - Fax:609-383-0703
Practice Address - Street 1:1423 TILTON RD
Practice Address - Street 2:SUITE 4
Practice Address - City:NORTHFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08225-1865
Practice Address - Country:US
Practice Address - Phone:609-383-0700
Practice Address - Fax:609-383-0703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-08
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC005980111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ113196Medicare PIN