Healthcare Provider Details

I. General information

NPI: 1629004338
Provider Name (Legal Business Name): ALLENTOWN CHIROPRACTIC GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 S MAIN ST
ALLENTOWN NJ
08501-1615
US

IV. Provider business mailing address

23 S MAIN ST P.O. BOX 626
ALLENTOWN NJ
08501-1615
US

V. Phone/Fax

Practice location:
  • Phone: 609-259-3700
  • Fax: 609-259-3700
Mailing address:
  • Phone: 609-259-3700
  • Fax: 609-259-3700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00458100
License Number StateNJ

VIII. Authorized Official

Name: DR. RICHARD JAMES SARACEN
Title or Position: OWNER
Credential: D.C.
Phone: 609-259-3700