Provider Demographics
NPI:1710188552
Name:BURROWES, JEFF EDWARD (DC)
Entity Type:Individual
Prefix:DR
First Name:JEFF
Middle Name:EDWARD
Last Name:BURROWES
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 1:411 POMPTON AVE
Mailing Address - Street 2:
Mailing Address - City:CEDAR GROVE
Mailing Address - State:NJ
Mailing Address - Zip Code:07009-1800
Mailing Address - Country:US
Mailing Address - Phone:973-239-8072
Mailing Address - Fax:
Practice Address - Street 1:411 POMPTON AVE
Practice Address - Street 2:
Practice Address - City:CEDAR GROVE
Practice Address - State:NJ
Practice Address - Zip Code:07009-1800
Practice Address - Country:US
Practice Address - Phone:973-239-3222
Practice Address - Fax:973-239-4644
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00566400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor