Healthcare Provider Details

I. General information

NPI: 1639254105
Provider Name (Legal Business Name): DESIREE CURLEY D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 12/15/2022
Certification Date: 12/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BROAD ST SUITE 6
FREEHOLD NJ
07728-1753
US

IV. Provider business mailing address

1 BROAD ST SUITE 6
FREEHOLD NJ
07728-1753
US

V. Phone/Fax

Practice location:
  • Phone: 732-780-8802
  • Fax: 732-780-8803
Mailing address:
  • Phone: 732-780-8802
  • Fax: 732-780-8803

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number38MC00595600
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code111NX0100X
TaxonomyOccupational Health Chiropractor
License Number38MC00595600
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number38MC00595600
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number38MC00595600
License Number StateNJ
# 5
Primary TaxonomyN
Taxonomy Code111NP0017X
TaxonomyPediatric Chiropractor
License Number38MC00595600
License Number StateNJ
# 6
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number38MC00595600
License Number StateNJ
# 7
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number38MC00595600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: