Individual
DR. TIMOTHY JAMES EUSTACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
106 W PLEASANT AVE, MAYWOOD, NJ 07607-1336
(201) 843-3111
(201) 843-3111
Mailing address
106 W PLEASANT AVE, MAYWOOD, NJ 07607-1336
(201) 843-3111
(201) 843-3111
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3015
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2011000
—
NJ
Enumeration date
05/20/2006
Last updated
08/27/2019
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