Provider Demographics
NPI:1093425076
Name:FRANKLIN LAKES CHIROPRACTIC AND SPORTS MEDICINE LLC
Entity Type:Organization
Organization Name:FRANKLIN LAKES CHIROPRACTIC AND SPORTS MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:A
Authorized Official - Last Name:SAGGAL
Authorized Official - Suffix:
Authorized Official - Credentials:DC, CCSP
Authorized Official - Phone:201-891-6065
Mailing Address - Street 1:777 FRANKLIN AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07417-1308
Mailing Address - Country:US
Mailing Address - Phone:201-891-6065
Mailing Address - Fax:201-891-6066
Practice Address - Street 1:777 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:FRANKLIN LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07417-1308
Practice Address - Country:US
Practice Address - Phone:201-891-6065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-30
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty