Healthcare Provider Details

I. General information

NPI: 1285732107
Provider Name (Legal Business Name): JEFFREY H. MCGUNNIGLE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 04/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 S. WHITE HORSE PIKE
AUDUBON NJ
08106
US

IV. Provider business mailing address

325 E ATLANTIC AVE
AUDUBON NJ
08106-1501
US

V. Phone/Fax

Practice location:
  • Phone: 856-310-4445
  • Fax: 856-310-4404
Mailing address:
  • Phone: 856-310-4445
  • Fax: 856-310-4404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. JEFFREY HAMILTON MCGUNNIGLE
Title or Position: OWNER
Credential: D.C.
Phone: 856-310-4445