Provider Demographics
NPI:1164757274
Name:MARTOS CHIROPRACTIC HEALTH CENTER, LLC
Entity Type:Organization
Organization Name:MARTOS CHIROPRACTIC HEALTH CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:CESAR
Authorized Official - Middle Name:M
Authorized Official - Last Name:MARTOS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:201-389-6639
Mailing Address - Street 1:PO BOX 8032
Mailing Address - Street 2:
Mailing Address - City:SADDLE BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07663
Mailing Address - Country:US
Mailing Address - Phone:201-389-6639
Mailing Address - Fax:
Practice Address - Street 1:150 N. MIDLAND AVE
Practice Address - Street 2:
Practice Address - City:SADDLE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07663
Practice Address - Country:US
Practice Address - Phone:201-389-6639
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-07
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty