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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