Provider Demographics
NPI:1366657215
Name:QUIROS, JOYCE CHUNG (DC)
Entity Type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:CHUNG
Last Name:QUIROS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:JOYCE
Other - Middle Name:
Other - Last Name:CHUNG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:34 JEROME AVE
Mailing Address - Street 2:SUITE 305
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002-2463
Mailing Address - Country:US
Mailing Address - Phone:860-519-1916
Mailing Address - Fax:
Practice Address - Street 1:34 JEROME AVE
Practice Address - Street 2:SUITE 305
Practice Address - City:BLOOMFIELD
Practice Address - State:CT
Practice Address - Zip Code:06002
Practice Address - Country:US
Practice Address - Phone:860-519-1916
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2018-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001648111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor