Provider Demographics
NPI:1912049297
Name:BOAS, KARA ANNE (DC)
Entity Type:Individual
Prefix:DR
First Name:KARA
Middle Name:ANNE
Last Name:BOAS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-3230
Mailing Address - Country:US
Mailing Address - Phone:732-688-6416
Mailing Address - Fax:
Practice Address - Street 1:479 ROUTE 79
Practice Address - Street 2:SUITE 15
Practice Address - City:MORGANVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07751-4061
Practice Address - Country:US
Practice Address - Phone:732-591-2580
Practice Address - Fax:732-591-1525
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00647000111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor