Healthcare Provider Details

I. General information

NPI: 1124057237
Provider Name (Legal Business Name): COMMUNITY CHIROPRACTIC CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2006
Last Update Date: 11/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 W ALLENDALE AVE SUITE A
ALLENDALE NJ
07401-1798
US

IV. Provider business mailing address

70 W ALLENDALE AVE SUITE A
ALLENDALE NJ
07401-1798
US

V. Phone/Fax

Practice location:
  • Phone: 201-818-0900
  • Fax: 201-818-8809
Mailing address:
  • Phone: 201-818-0900
  • Fax: 201-818-8809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00576000
License Number StateNJ

VIII. Authorized Official

Name: DR. AARON VINCENT FRANCHINI
Title or Position: PRESIDENT
Credential: D.C.
Phone: 201-818-0900