Provider Demographics
NPI:1164671053
Name:BIZUB, BARBARA HOLUB (DC)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:HOLUB
Last Name:BIZUB
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:
Other - Last Name:HOLUB
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:393 CRESCENT AVENUE
Mailing Address - Street 2:SUITE G
Mailing Address - City:WYCKOFF
Mailing Address - State:NJ
Mailing Address - Zip Code:07481
Mailing Address - Country:US
Mailing Address - Phone:201-848-1516
Mailing Address - Fax:201-848-4922
Practice Address - Street 1:393 CRESCENT AVENUE
Practice Address - Street 2:SUITE G
Practice Address - City:WYCKOFF
Practice Address - State:NJ
Practice Address - Zip Code:07481
Practice Address - Country:US
Practice Address - Phone:201-848-1516
Practice Address - Fax:201-848-4922
Is Sole Proprietor?:No
Enumeration Date:2008-09-16
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2229111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor