Healthcare Provider Details

I. General information

NPI: 1619097672
Provider Name (Legal Business Name): PAUL R. FRANZ D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2007
Last Update Date: 09/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

570 MOUNTAIN AVE
GILLETTE NJ
07933-2020
US

IV. Provider business mailing address

570 MOUNTAIN AVE
GILLETTE NJ
07933-2020
US

V. Phone/Fax

Practice location:
  • Phone: 908-647-5200
  • Fax: 908-647-4677
Mailing address:
  • Phone: 908-647-5200
  • Fax: 908-647-4677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1641
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: