Provider Demographics
NPI:1083891337
Name:DR. A. CHRISTOPHER OSWALD, LLC
Entity Type:Organization
Organization Name:DR. A. CHRISTOPHER OSWALD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR. OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:OSWALD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:609-714-1306
Mailing Address - Street 1:5 N MAIN ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-2439
Mailing Address - Country:US
Mailing Address - Phone:609-714-1306
Mailing Address - Fax:609-714-1307
Practice Address - Street 1:5 N MAIN ST
Practice Address - Street 2:SUITE D
Practice Address - City:MEDFORD
Practice Address - State:NJ
Practice Address - Zip Code:08055-2439
Practice Address - Country:US
Practice Address - Phone:609-714-1306
Practice Address - Fax:609-714-1307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-29
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00399900111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty