Provider Demographics
NPI:1801232673
Name:TRAN, MAI (DC)
Entity Type:Individual
Prefix:DR
First Name:MAI
Middle Name:
Last Name:TRAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:280 STATE ROUTE 35
Mailing Address - Street 2:STE 204
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-5900
Mailing Address - Country:US
Mailing Address - Phone:916-761-0980
Mailing Address - Fax:732-747-6652
Practice Address - Street 1:280 STATE ROUTE 35
Practice Address - Street 2:STE 204
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-5900
Practice Address - Country:US
Practice Address - Phone:916-761-0980
Practice Address - Fax:732-747-6652
Is Sole Proprietor?:No
Enumeration Date:2013-05-20
Last Update Date:2014-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00709100111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor