Healthcare Provider Details

I. General information

NPI: 1215061510
Provider Name (Legal Business Name): ARSENNE KEUSHKERIAN DC, CA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 N WASHINGTON AVE SUITE E1 3RD FLOOR
BERGENFIELD NJ
07621-1742
US

IV. Provider business mailing address

155 N WASHINGTON AVE SUITE E1 3RD FLOOR
BERGENFIELD NJ
07621-1742
US

V. Phone/Fax

Practice location:
  • Phone: 201-439-1070
  • Fax: 201-439-1074
Mailing address:
  • Phone: 201-439-1070
  • Fax: 201-439-1074

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: