Provider Demographics
NPI:1891794376
Name:TUMAS, JOHN JOSEPH (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:JOSEPH
Last Name:TUMAS
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 1:712 RIVERVIEW DR
Mailing Address - Street 2:
Mailing Address - City:BRIELLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08730-1446
Mailing Address - Country:US
Mailing Address - Phone:732-528-2188
Mailing Address - Fax:732-528-4408
Practice Address - Street 1:712 RIVERVIEW DR
Practice Address - Street 2:
Practice Address - City:BRIELLE
Practice Address - State:NJ
Practice Address - Zip Code:08730-1446
Practice Address - Country:US
Practice Address - Phone:732-528-2188
Practice Address - Fax:732-528-4408
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-18
Last Update Date:2016-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC3219111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
450708Medicare UPIN
450708Medicare ID - Type Unspecified