Provider Demographics
NPI:1295728889
Name:AFFILIATED HEALTH PROFESSIONALS PC
Entity type:Organization
Organization Name:AFFILIATED HEALTH PROFESSIONALS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:WEINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC, RPH
Authorized Official - Phone:732-651-8880
Mailing Address - Street 1:4 CORNWALL DR
Mailing Address - Street 2:SUITE #204
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-3332
Mailing Address - Country:US
Mailing Address - Phone:732-651-8880
Mailing Address - Fax:732-651-0999
Practice Address - Street 1:4 CORNWALL DR
Practice Address - Street 2:SUITE #204
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-3332
Practice Address - Country:US
Practice Address - Phone:732-651-8880
Practice Address - Fax:732-651-0999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-29
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMCO4017111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
007256OtherMEDICARE ID- UNSPECIFIED