Healthcare Provider Details

I. General information

NPI: 1790927614
Provider Name (Legal Business Name): MEGAN FLYNN-SINDONI D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2009
Last Update Date: 03/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2709 HOOPER AVE
BRICK NJ
08723-4107
US

IV. Provider business mailing address

2709 HOOPER AVE
BRICK NJ
08723-4107
US

V. Phone/Fax

Practice location:
  • Phone: 732-477-6767
  • Fax:
Mailing address:
  • Phone: 732-477-6767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00552900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: