Provider Demographics
NPI:1255669966
Name:CHIROPRACTIC HEALTH ASSOCIATES OF CENTRAL JERSEY
Entity Type:Organization
Organization Name:CHIROPRACTIC HEALTH ASSOCIATES OF CENTRAL JERSEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:SZITANKO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:732-741-5772
Mailing Address - Street 1:170 HWY 35
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701
Mailing Address - Country:US
Mailing Address - Phone:732-741-5772
Mailing Address - Fax:732-741-5778
Practice Address - Street 1:170 HWY 35
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-5929
Practice Address - Country:US
Practice Address - Phone:732-741-5772
Practice Address - Fax:732-741-5778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-19
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00612300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty