Provider Demographics
NPI:1477613974
Name:STUART, CHRISTOPHER FRANCIS (DC)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:FRANCIS
Last Name:STUART
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5401 HARDING HWY
Mailing Address - Street 2:STE 4
Mailing Address - City:MAYS LANDING
Mailing Address - State:NJ
Mailing Address - Zip Code:08330-2243
Mailing Address - Country:US
Mailing Address - Phone:609-909-9920
Mailing Address - Fax:609-625-9584
Practice Address - Street 1:5401 HARDING HWY
Practice Address - Street 2:STE 4
Practice Address - City:MAYS LANDING
Practice Address - State:NJ
Practice Address - Zip Code:08330-2243
Practice Address - Country:US
Practice Address - Phone:609-909-9920
Practice Address - Fax:609-625-9584
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00507400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U68584Medicare UPIN
NJ002891Medicare ID - Type Unspecified