Healthcare Provider Details

I. General information

NPI: 1811132426
Provider Name (Legal Business Name): THE WASHLESKI CHIROPRACTIC CENTER, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2008
Last Update Date: 12/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

179 STATE ROUTE 31 PLAZA 31
FLEMINGTON NJ
08822-5743
US

IV. Provider business mailing address

179 STATE ROUTE 31 PLAZA 31
FLEMINGTON NJ
08822-5743
US

V. Phone/Fax

Practice location:
  • Phone: 908-806-6171
  • Fax: 908-806-6433
Mailing address:
  • Phone: 908-806-6171
  • Fax: 908-806-6433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number25MZ00006500
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number38MC00299200
License Number StateNJ

VIII. Authorized Official

Name: DR. ROBERT A WASHLESKI
Title or Position: PRESIDENT
Credential: DC
Phone: 908-806-6171