Healthcare Provider Details
I. General information
NPI: 1083529630
Provider Name (Legal Business Name): ALEXANDER DANIEL BRESCIA D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6106 BLACK HORSE PIKE STE A3
EGG HARBOR TWP NJ
08234-9703
US
IV. Provider business mailing address
18 EMILY DR
MILLVILLE NJ
08332-5136
US
V. Phone/Fax
- Phone: 609-415-2821
- Fax: 609-415-2831
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 38MC00822400 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: