Healthcare Provider Details

I. General information

NPI: 1699079004
Provider Name (Legal Business Name): JOHN JOSEPH FOLEY D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/28/2010
Last Update Date: 12/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

367 W BROWNING RD UNIT G
BELLMAWR NJ
08031-1903
US

IV. Provider business mailing address

367 W BROWNING RD UNIT G
BELLMAWR NJ
08031-1903
US

V. Phone/Fax

Practice location:
  • Phone: 856-931-5555
  • Fax:
Mailing address:
  • Phone: 856-931-5555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00688600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: