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Organization
OPTIMAL FAMILY CHIROPRACTIC, LLC
Active
Organization
OPTIMAL FAMILY CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDA LEE ROONEY D.C. (DOCTOR OF CHIROPRACTIC)
(973) 584-4888
Entity
Organization
Contact information
Practice address
22 PLAZA RD, FLANDERS, NJ 07836-9416
(973) 584-4888
(973) 584-1666
Mailing address
22 PLAZA RD, FLANDERS, NJ 07836-9416
(973) 584-4888
(973) 584-1666
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00605000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
076617
MEDICARE ID- TYPE UNSPECIFIED
NJ
01
—
076618
MEDICARE ID-TYPE UNSPECIF
NJ
Enumeration date
02/02/2007
Last updated
06/11/2015
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