MEDICARE: POINT 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	38MC00168300	NJ

General Provider Information

NPI Number	:	1205112356
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POINT CHIROPRACTIC CENTER LLC

Provider Business Mailing Address
First Line	:	1401 BEAVER DAM RD
Second Line	:
City	:	POINT PLEASANT BORO
State	:	NJ
Zip	:	08742-4970
Country	:	US
Telephone Number	:	732-295-0055
Fax Number	:	732-295-9343

Provider Business Practice Location Address
First Line	:	1401 BEAVER DAM RD
Second Line	:
City	:	POINT PLEASANT BORO
State	:	NJ
Zip	:	08742-4970
Country	:	US
Telephone Number	:	732-295-0055
Fax Number	:	732-295-9343

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. MARIA GUARIGLIA
Credential	:
Telephone Number	:	732-295-0055

Provider Enumeration Date	:	11/02/2011
Last Update Date	:	11/02/2011

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Directions to “POINT CHIROPRACTIC CENTER LLC ” Practice Location

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