Provider Demographics
NPI:1720278443
Name:GUNN, JARED MATTHEW (DC)
Entity Type:Individual
Prefix:
First Name:JARED
Middle Name:MATTHEW
Last Name:GUNN
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 1:24 FARMHOUSE LN APT 3B
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-3030
Mailing Address - Country:US
Mailing Address - Phone:201-787-0625
Mailing Address - Fax:
Practice Address - Street 1:24 FARMHOUSE LN APT 3B
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-3030
Practice Address - Country:US
Practice Address - Phone:201-787-0625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00646600111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor