Provider Demographics
NPI:1134173305
Name:EID, LUCIEN JOSEPH (DC)
Entity type:Individual
Prefix:DR
First Name:LUCIEN
Middle Name:JOSEPH
Last Name:EID
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 1:525 MILLTOWN RD
Mailing Address - Street 2:SUITE 305
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-3317
Mailing Address - Country:US
Mailing Address - Phone:732-545-3300
Mailing Address - Fax:732-545-8829
Practice Address - Street 1:525 MILLTOWN RD STE 201
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-3317
Practice Address - Country:US
Practice Address - Phone:732-545-3300
Practice Address - Fax:732-545-8829
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00559100111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ067343Medicare ID - Type UnspecifiedMEDICARE ID