Provider Demographics
NPI:1710662234
Name:CIMATO CHIROPRACTIC CENTER LLC
Entity Type:Organization
Organization Name:CIMATO CHIROPRACTIC CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:GEBRAIEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:551-221-9031
Mailing Address - Street 1:113 MAPLE STREAM RD STE 2
Mailing Address - Street 2:
Mailing Address - City:EAST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08520-2459
Mailing Address - Country:US
Mailing Address - Phone:609-448-6740
Mailing Address - Fax:609-448-0781
Practice Address - Street 1:113 MAPLE STREAM RD
Practice Address - Street 2:
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08520-2459
Practice Address - Country:US
Practice Address - Phone:609-448-6740
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-21
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty