Provider Demographics
NPI:1578654307
Name:DONOFRI, CHRISTOPHER (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:
Last Name:DONOFRI
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 1:167 AVENUE AT THE CMN
Mailing Address - Street 2:2ND FLOOR STE 12
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702-4805
Mailing Address - Country:US
Mailing Address - Phone:732-542-2000
Mailing Address - Fax:732-542-2044
Practice Address - Street 1:167 AVENUE AT THE CMN
Practice Address - Street 2:2ND FLOOR STE 12
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4805
Practice Address - Country:US
Practice Address - Phone:732-542-2000
Practice Address - Fax:732-542-2044
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00512500111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ149705Medicare PIN