Provider Demographics
NPI:1467230888
Name:DYNAMIC CHIROPRACTIC CARE
Entity type:Organization
Organization Name:DYNAMIC CHIROPRACTIC CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:COLANDREA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:973-259-6779
Mailing Address - Street 1:1161 RTE 23 STE 4
Mailing Address - Street 2:
Mailing Address - City:KINNELON
Mailing Address - State:NJ
Mailing Address - Zip Code:07405-2015
Mailing Address - Country:US
Mailing Address - Phone:973-259-6779
Mailing Address - Fax:845-610-0065
Practice Address - Street 1:1161 RTE 23 STE 4
Practice Address - Street 2:
Practice Address - City:KINNELON
Practice Address - State:NJ
Practice Address - Zip Code:07405-2015
Practice Address - Country:US
Practice Address - Phone:973-259-6779
Practice Address - Fax:845-610-0065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-18
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty