Provider Demographics
NPI:1083949150
Name:OAKLAND FAMILY CHIROPRATIC LLC
Entity Type:Organization
Organization Name:OAKLAND FAMILY CHIROPRATIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:HARTUNG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:201-337-3377
Mailing Address - Street 1:410 RAMAPO VALLEY RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:OAKLAND
Mailing Address - State:NJ
Mailing Address - Zip Code:07436-2735
Mailing Address - Country:US
Mailing Address - Phone:201-337-3377
Mailing Address - Fax:201-337-3775
Practice Address - Street 1:410 RAMAPO VALLEY RD
Practice Address - Street 2:SUITE 102
Practice Address - City:OAKLAND
Practice Address - State:NJ
Practice Address - Zip Code:07436-2735
Practice Address - Country:US
Practice Address - Phone:201-337-3377
Practice Address - Fax:201-337-3775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-07
Last Update Date:2009-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty