Healthcare Provider Details

I. General information

NPI: 1992928857
Provider Name (Legal Business Name): MCGRATH FAMILY CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 07/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 W HOMESTEAD AVE
COLLINGSWOOD NJ
08108-1904
US

IV. Provider business mailing address

3 W HOMESTEAD AVE
COLLINGSWOOD NJ
08108-1904
US

V. Phone/Fax

Practice location:
  • Phone: 856-854-9200
  • Fax: 856-854-9192
Mailing address:
  • Phone: 856-854-9200
  • Fax: 856-854-9192

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00586000
License Number StateNJ

VIII. Authorized Official

Name: DR. ROBERT C MCGRATH
Title or Position: OWNER
Credential: DC
Phone: 856-854-4900