Healthcare Provider Details

I. General information

NPI: 1720144926
Provider Name (Legal Business Name): BRANCHVILLE FAMILY CHIROPRACTIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 NEWTON AVE
BRANCHVILLE NJ
07826-5511
US

IV. Provider business mailing address

10 NEWTON AVE
BRANCHVILLE NJ
07826-5511
US

V. Phone/Fax

Practice location:
  • Phone: 973-948-5556
  • Fax: 973-948-2535
Mailing address:
  • Phone: 973-948-5556
  • Fax: 973-948-2535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: GREGORY ALAN STETZEL
Title or Position: MANAGING PARTNER
Credential: D.C.
Phone: 973-948-5556