Provider Demographics
NPI:1952473449
Name:GARABO CHIROPRACTIC HEALTH CENTER, PC
Entity Type:Organization
Organization Name:GARABO CHIROPRACTIC HEALTH CENTER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:GARABO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:908-497-9440
Mailing Address - Street 1:1457 RARITAN RD
Mailing Address - Street 2:STE.204
Mailing Address - City:CLARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07066-1252
Mailing Address - Country:US
Mailing Address - Phone:908-497-9440
Mailing Address - Fax:908-497-9446
Practice Address - Street 1:1457 RARITAN RD
Practice Address - Street 2:STE.204
Practice Address - City:CLARK
Practice Address - State:NJ
Practice Address - Zip Code:07066-1252
Practice Address - Country:US
Practice Address - Phone:908-497-9440
Practice Address - Fax:908-497-9446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC03710111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ109272Medicare PIN