Provider Demographics
NPI:1477678670
Name:OSWALD, ALFRED CHRISTOPHER (DC)
Entity Type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:CHRISTOPHER
Last Name:OSWALD
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 1:5 NORTH MAIN STREET
Mailing Address - Street 2:SUITE D
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055
Mailing Address - Country:US
Mailing Address - Phone:609-714-1306
Mailing Address - Fax:609-714-1307
Practice Address - Street 1:5 NORTH MAIN STREET
Practice Address - Street 2:SUITE D
Practice Address - City:MEDFORD
Practice Address - State:NJ
Practice Address - Zip Code:08055
Practice Address - Country:US
Practice Address - Phone:609-714-1306
Practice Address - Fax:609-714-1307
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2012-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00399900111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor