MEDICARE: COMMUNITY CHIROPRACTIC CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	38MC00576000	NJ

General Provider Information

NPI Number	:	1124057237
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY CHIROPRACTIC CENTER, LLC

Provider Business Mailing Address
First Line	:	70 W ALLENDALE AVE
Second Line	:	SUITE A
City	:	ALLENDALE
State	:	NJ
Zip	:	07401-1798
Country	:	US
Telephone Number	:	201-818-0900
Fax Number	:	201-818-8809

Provider Business Practice Location Address
First Line	:	70 W ALLENDALE AVE
Second Line	:	SUITE A
City	:	ALLENDALE
State	:	NJ
Zip	:	07401-1798
Country	:	US
Telephone Number	:	201-818-0900
Fax Number	:	201-818-8809

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. AARON VINCENT FRANCHINI
Credential	:	D.C.
Telephone Number	:	201-818-0900

Provider Enumeration Date	:	07/01/2006
Last Update Date	:	11/11/2010

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