Provider Demographics
NPI:1639221906
Name:ALEJANDRO, ADONIS TOROS (DC)
Entity Type:Individual
Prefix:MR
First Name:ADONIS
Middle Name:TOROS
Last Name:ALEJANDRO
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 1:3121 FIRE RD STE D
Mailing Address - Street 2:PMB 245
Mailing Address - City:EGG HARBOR TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08234-9619
Mailing Address - Country:US
Mailing Address - Phone:609-484-8333
Mailing Address - Fax:609-484-8019
Practice Address - Street 1:950 TILTON RD
Practice Address - Street 2:SUITE A
Practice Address - City:NORTHFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08225-1235
Practice Address - Country:US
Practice Address - Phone:609-484-8333
Practice Address - Fax:609-484-8019
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00616300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJV05304Medicare UPIN
NJ091698UA8Medicare PIN
NJ091697Medicare PIN