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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