Healthcare Provider Details

I. General information

NPI: 1891794376
Provider Name (Legal Business Name): JOHN JOSEPH TUMAS D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2005
Last Update Date: 12/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

712 RIVERVIEW DR
BRIELLE NJ
08730-1446
US

IV. Provider business mailing address

712 RIVERVIEW DR
BRIELLE NJ
08730-1446
US

V. Phone/Fax

Practice location:
  • Phone: 732-528-2188
  • Fax: 732-528-4408
Mailing address:
  • Phone: 732-528-2188
  • Fax: 732-528-4408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberMC3219
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: