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Organization
OPTIMAL HEALTH FAMILY CHIROPRACTIC, LLC
Active
Organization
OPTIMAL HEALTH FAMILY CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW O'NEILL D.C. (MANAGING MEMBER)
(201) 505-8984
Entity
Organization
Contact information
Practice address
17 HAWTHORNE AVE, PARK RIDGE, NJ 07656-1212
(201) 505-8984
(201) 505-8986
Mailing address
17 HAWTHORNE AVE, PARK RIDGE, NJ 07656-1212
(201) 505-8984
(201) 505-8986
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00729600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
470469
MEDICARE PTAN
NJ
Enumeration date
12/10/2015
Last updated
02/10/2016
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