Individual
DR. BRENDA LEE ROONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
22 PLAZA RD, FLANDERS, NJ 07836-9416
(908) 852-2545
Mailing address
22 PLAZA RD, FLANDERS, NJ 07836-9416
(908) 852-2545
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 UNSPEC
NJ
Enumeration date
06/23/2005
Last updated
06/09/2015
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