Provider Demographics
NPI:1174645162
Name:FOSTER, MERYL SCHECHNER (DC)
Entity Type:Individual
Prefix:DR
First Name:MERYL
Middle Name:SCHECHNER
Last Name:FOSTER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 OAK RD
Mailing Address - Street 2:
Mailing Address - City:BOONTON TWP
Mailing Address - State:NJ
Mailing Address - Zip Code:07005-8712
Mailing Address - Country:US
Mailing Address - Phone:201-452-5754
Mailing Address - Fax:
Practice Address - Street 1:850 CLIFTON AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-1716
Practice Address - Country:US
Practice Address - Phone:973-253-7005
Practice Address - Fax:973-246-9299
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00248500111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor