Provider Demographics
NPI:1801967385
Name:ASLANIAN, SIMON B (DC)
Entity type:Individual
Prefix:DR
First Name:SIMON
Middle Name:B
Last Name:ASLANIAN
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 1:510 KINGS HWY N
Mailing Address - Street 2:SUITE A3
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-1504
Mailing Address - Country:US
Mailing Address - Phone:856-667-8636
Mailing Address - Fax:856-667-8940
Practice Address - Street 1:510 KINGS HWY N
Practice Address - Street 2:SUITE A3
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-1504
Practice Address - Country:US
Practice Address - Phone:856-667-8636
Practice Address - Fax:856-667-8940
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00147700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor