Healthcare Provider Details
I. General information
NPI: 1477627776
Provider Name (Legal Business Name): HEALTH CARE PLUS, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/20/2006
Last Update Date: 07/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
33 RIVERVIEW DR
WAYNE NJ
07470-3101
US
IV. Provider business mailing address
33 RIVERVIEW DR
WAYNE NJ
07470-3101
US
V. Phone/Fax
- Phone: 973-694-4450
- Fax: 973-696-4878
- Phone: 973-694-4450
- Fax: 973-696-4878
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NR0400X |
| Taxonomy | Rehabilitation Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ADAM
T.
GRAND
Title or Position: OWNER
Credential: DC
Phone: 973-694-4450