Healthcare Provider Details

I. General information

NPI: 1184978629
Provider Name (Legal Business Name): MORRISTOWN FAMILY CHIROPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2012
Last Update Date: 11/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 E HANOVER AVE BUILDING B
MORRIS PLAINS NJ
07950-2456
US

IV. Provider business mailing address

39 E HANOVER AVE BUILDING B
MORRIS PLAINS NJ
07950-2456
US

V. Phone/Fax

Practice location:
  • Phone: 973-839-1003
  • Fax: 973-839-3653
Mailing address:
  • Phone: 973-839-1003
  • Fax: 973-839-3653

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: JAMES FARLEY
Title or Position: OWNER
Credential: DC
Phone: 973-839-1003