Organization
OPTIMUM HEALTH CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VEERA GUPTA D,C. (OWNER)
(732) 528-9090
Entity
Organization
Contact information
Practice address
2517 ROUTE 35, BUILDING L, SUITE 102, MANASQUAN, NJ 08736-1918
(732) 528-9090
(732) 528-9060
Mailing address
2517 ROUTE 35, BUILDING L, SUITE 102, MANASQUAN, NJ 08736-1918
(732) 528-9090
(732) 528-9060
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00659800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119073
GROUP PTAN
NJ
Enumeration date
10/03/2007
Last updated
04/05/2011
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