Provider Demographics
NPI:1194036517
Name:POINT CHIROPRACTIC CENTER PA
Entity Type:Organization
Organization Name:POINT CHIROPRACTIC CENTER PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:GUARIGLIA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:732-295-0055
Mailing Address - Street 1:1401 BEAVER DAM RD
Mailing Address - Street 2:
Mailing Address - City:POINT PLEASANT BORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08742-4970
Mailing Address - Country:US
Mailing Address - Phone:732-295-0055
Mailing Address - Fax:732-295-9343
Practice Address - Street 1:1401 BEAVER DAM RD
Practice Address - Street 2:
Practice Address - City:POINT PLEASANT BORO
Practice Address - State:NJ
Practice Address - Zip Code:08742-4970
Practice Address - Country:US
Practice Address - Phone:732-295-0055
Practice Address - Fax:732-295-9343
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:POINT CHIROPRACTIC CENTER PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-06-30
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00168300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4596752OtherAETNA
NJ440962Medicare PIN